Pharmaceutical Compositions of Amorphous Dispersions of Drugs and Lipophilic Microphase-Forming Materials

ABSTRACT

A pharmaceutical composition comprises a solid amorphous dispersion comprising a low-solubility drug and a concentration-enhancing polymer and a lipophilic microphase-forming material. Alternatively, a solid amorphous dispersion comprising a low-solubility drug and a concentration-enhancing polymer is co-administered with a lipophilic microphase-forming material to an in vivo use environment.

This application Claims priority of U.S. Ser. No. 10/355,747, filed onJan. 31, 2003, which claims priority to PCT Application No.PCT/IB03/00335, filed on Jan. 28, 2002, which claims priority to U.S.Provisional Ser. No. 60/354,081 filed on Feb. 2, 1002.

BACKGROUND OF THE INVENTION

The invention relates to pharmaceutical compositions comprising (1) asolid amorphous dispersion comprising a low-solubility drug and aconcentration-enhancing polymer and (2) a lipophilic microphase-formingmaterial that enhances the concentration of the drug in a useenvironment.

Low-solubility drugs often show poor bioavailability or irregularabsorption, the degree of irregularity being affected by factors such asdose level, fed state of the patient, and form of the drug. Increasingthe bioavailability of low-solubility drugs has been the subject of muchresearch. Increasing bioavailability depends on improving theconcentration of dissolved drug in solution to improve absorption.

It is well known that the amorphous form of a low-solubility drug thatis capable of existing in either the crystalline or amorphous form maytemporarily provide a greater aqueous concentration of drug relative tothe equilibrium concentration obtained by dissolution of the drug in ause environment. Such amorphous forms may consist of the amorphous drugalone, a dispersion of the drug in a matrix material, or the drugadsorbed onto a substrate. It is believed that such amorphous forms ofthe drug may dissolve more rapidly than the crystalline form, oftendissolving faster than the drug can precipitate from solution. As aresult, the amorphous form may temporarily provide a greater-thanequilibrium concentration of drug.

While such amorphous forms may show initially enhanced concentration ofthe drug in a use environment, nevertheless the improved concentrationis often short-lived. Typically, the initially enhanced drugconcentration is only temporary and quickly returns to the lowerequilibrium concentration.

One approach to increase the bioavailability of low-solubility drugs hasinvolved forming amorphous dispersions of drugs with polymers. Examplesof attempts to increase drug concentration by forming a dispersion ofthe drug with a polymer include Nakamichi et al., U.S. Pat. No.5,456,923, and Curatolo et al., EP 0901786A2.

It is known to mix surfactants with solid amorphous dispersions.Curatolo et al., EP 0901786A2 disclose that a component of thedispersion may be a surface-active agent such as a fatty acid and alkylsulfonate, commercial surfactants such as benzethanium chloride,docusate sodium, and polyoxyethylene sorbitan fatty acid esters, andnatural surfactants. Curatolo et al. state that such materials canadvantageously be employed to increase the rate of dissolution byfacilitating wetting, thereby increasing the maximum drug concentrationand the degree of supersaturation attained, and also to inhibitcrystallization or precipitation of drug by interacting with dissolveddrug by mechanisms such as complexation, formation of inclusioncomplexes, formation of micelles or adsorbing to the surface of soliddrug, crystalline or amorphous. Curatolo et al. state that these surfaceactive agents may comprise up to 25% of the dispersion. In addition,Curatolo et al. also disclose that surface active agents may be presentin compositions containing dispersions.

Nevertheless, what is still desired is a composition that may enhancethe dissolution and/or bioavailability of poorly soluble drugs. Theseneeds and others that will become apparent to one of ordinary skill aremet by the present invention, which is summarized and described indetail below.

BRIEF SUMMARY OF THE INVENTION

The present invention overcomes the drawbacks of the prior art byproviding a composition comprising (1) a solid amorphous dispersioncomprising a low-solubility drug and a concentration-enhancing polymerand (2) a lipophilic microphase-forming material. The combination of asolid amorphous dispersion and a lipophilic microphase-forming materialresults in improved dissolved concentration of the drug in the aqueoususe environment, and in some embodiments a surprising synergy. For agiven dose of drug, the combination may either provide higherbioavailability with the same amount of concentration-enhancing polymer,or may provide the same bioavailability but with lessconcentration-enhancing polymer.

In another aspect of the invention, a solid amorphous dispersioncomprising a low-solubility drug and a concentration-enhancing polymeris co-administered with a lipophilic microphase-forming material to anin vivo use environment. Another aspect of the invention comprises a kitcomprising a solid amorphous dispersion comprising a low-solubility drugand a concentration-enhancing polymer and a lipophilicmicrophase-forming material.

The present inventors have found that the ability of a solid amorphousdispersion to enhance the concentration of drug in a use environment maybe significantly improved by the addition of certain lipophilicmicrophase-forming materials. These lipophilic microphase-formingmaterials, when administered to an aqueous use environment such as theGI tract, form a plurality of small microphases, or so-called“lipophilic microphases.” The lipophilic microphase-forming materialsare chosen (1) to be water immiscible, (2) so that the drug has a highpartition coefficient with respect to the lipophilic microphases, and(3) so that the resulting lipophilic microphases in the aqueous useenvironment are small.

Without wishing to be bound by any particular theory, the presentinventors believe that when a composition of the present inventioncomprising a solid amorphous dispersion comprising a low-solubility drugand a concentration-enhancing polymer and a lipophilicmicrophase-forming material are introduced to a use environment such asthe GI tract, the drug may be present in several different species. Whenthe aqueous use environment is either the GI tract of an animal, or anin vitro use environment that simulates the GI tract of an animal, it isbelieved that at least five different drug species are formed: (1) freedrug; (2) drug present within bile salt micelles that are naturallyoccurring in the GI tract; (3) polymer/drug assemblies; (4) precipitate;and (5) drug in lipophilic microphases.

As used herein, the term “free drug” refers to drug molecules which aredissolved in the aqueous solution and are generally either monomeric orclusters of no more than about 100 molecules. A “polymer/drug assembly”refers to a collection of polymer molecules and drug molecules which arephysically associated to form an assembly or aggregate that issufficiently small that it remains suspended in solution. “Precipitate”is a general term for any relatively large particulates that form andfall out of solution, either naturally or upon centrifugation. Suchprecipitate may comprise one or more or all of the following forms: (1)crystalline drug; (2) amorphous drug; and/or (3) a mixture of drug andpolymer that is present as particles that are sufficiently large so asto drop out of solution (typically greater than about 5 to 10 microns inaverage diameter). As used herein, the term “total dissolved drug”refers to the concentration of drug in a use environment that is notpresent in precipitate. Thus, “total dissolved drug” refers to drug thatis present as free drug, drug within bile salt micelles, drug inpolymer/drug assemblies, and drug in the lipophilic microphases.

It is desired to increase the free drug concentration in the GI tractbecause, in general, primarily free drug is directly absorbed from theGI tract into the blood. The absorption rate of a drug from the GI tractto the blood is therefore generally proportional to the free drugconcentration at the intestinal membrane surface. Drug present in theother species generally must first convert to the free drug form inorder to be absorbed.

The present invention provides one or more of the following advantagesover prior methods for enhancing the concentration and bioavailabilityof low-solubility drugs. The lipophilic microphases are capable ofsufficiently solubilizing the drug in the use environment to enhancebioavailability. In some cases, the lipophilic microphases are thoughtto be (1) highly mobile, meaning that they may diffuse more rapidlythroughout the use environment than precipitate; and (2) labile, meaningthat the drug may rapidly convert back and forth between the lipophilicmicrophases and free drug. It is believed that the lipophilicmicrophases may be more mobile than the polymer/drug assemblies. Becausethe lipophilic microphases solubilize the drug, the lipophilicmicrophases may reduce the formation of drug precipitate and increasethe amount of total dissolved drug. The lability of the lipophilicmicrophases may also increase the rate of resupply of free drug in theuse environment. As free drug is absorbed, drug present in thelipophilic microphases may rapidly convert to free drug, thusmaintaining a sustained free drug concentration. When the lipophilicmicrophases are small, their high mobility may also increase the rate ofdrug absorption by the intestines by increasing the transport rate ofthe drug through the unstirred boundary layer adjacent to the intestinalwall. In combination, these properties may greatly enhance the rate andextent of drug absorption (e.g., bioavailability).

In addition, the compositions may also have the advantage of providingmore regular absorption between the fed and fasted state of a patient. Aproblem when dosing low-solubility, lipophilic drugs is that theabsorption of the drug may vary widely between the fed and fasted stateof the patient. As previously noted, bile-salt micelles may be presentin the GI tract. These micelles can behave in a similar way as thelipophilic microphase-forming materials of the present invention. It isbelieved that drug can readily partition into such bile-salt micelles,and drug in bile-salt micelles is readily absorbable because it islabile and the micelles are highly mobile.

It is well known in the art that in the fed state, the concentration ofbile-salt micelles present in the GI tract is greater than theconcentration present in the fasted state. The inventors believe thatthis difference in the concentration of bile-salt micelles in the GItract in the fed versus fasted state may account, at least in part, forthe fed/fasted differences in bioavailability observed for manypharmaceutical compositions.

The compositions of the present invention comprising a solid amorphousdispersion and a lipophilic microphase-forming material may minimizethis fed/fasted difference in bioavailability. The compositions tend toequalize the amount of drug present in highly labile, highly mobilespecies between the fed and fasted state, and thus provide a moreuniform bioavailability between the fed and fasted state.

The foregoing and other objectives, features, and advantages of theinvention will be more readily understood upon consideration of thefollowing detailed description of the invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The present invention provides in one aspect a composition comprising(1) a solid amorphous dispersion comprising a low-solubility drug and aconcentration-enhancing polymer, and (2) a lipophilic microphase-formingmaterial. The lipophilic microphase-forming material may either bepresent in the dispersion itself, may be mixed with the dispersion, ormay be separate from but co-administered with the dispersion. Suitablelipophilic microphase-forming materials, drugs and polymers, and methodsfor making the compositions, are discussed in more detail below.

Lipophilic Microphase-Forming Materials

The lipophilic microphase-forming material may comprise a surfactantand/or a lipophilic material. Thus, as used herein, the “lipophilicmicrophase-forming material” is intended to include blends of materialsin addition to a single material. The lipophilic microphase-formingmaterial must (1) be water immiscible (2) be capable of forming aplurality of small lipophilic microphases in the use environment and (3)have a relatively high partition coefficient for the drug in the useenvironment.

The lipophilic microphase-forming material must be “water immiscible,”meaning that the material when administered as prescribed herein to anin vivo aqueous use environment exceeds its solubility as solvatedmolecules thus requiring the formation of a second phase. Ideally such asecond phase takes the form of a large number of small phases such asmicelles or a microemulsion. The lipophilic microphase is a separatephase in the aqueous use environment; the separate phase ranging fromextremely small aggregates such as micelles or as large droplets up to afew microns in size. Thus, the lipophilic microphase-forming material isnot completely water soluble. The lipophilic microphase-forming materialalso is capable of forming a plurality of small lipophilic microphasesin an in vivo aqueous use environment without the need for stirring,agitation or other mechanical energy. The material need not beself-emulsifying. Nevertheless, preferably the lipophilicmicrophase-forming material should not agglomerate into a single phasewithin the use environment, but should remain as a plurality ofmicrophases for at least 1 hour and preferably longer. When thecomposition is administered to an in vitro aqueous use environment, thelipophilic microphase-forming material should form a plurality ofmicrophases with at most only slight agitation of the use environment.The microphases remain small for at least 1 hour, and more preferably atleast 4 hours, after administration to the use environment.

It should be noted that some lipophilic materials that do not form aplurality of microphases when administered alone may often form suchphases when administered with the polymer/drug solid amorphousdispersions. This is particularly true when the lipophilicmicrophase-forming material is dispersed, along with the drug and thepolymer in the solid amorphous dispersion.

The resulting lipophilic microphases formed in the aqueous useenvironment are small. By “small” is meant that the lipophilicmicrophase-forming material forms lipophilic microphases that aregenerally less than about 10 μm in characteristic diameter. By“characteristic diameter” is meant the volume average diameter of themicrophase in the use environment. The characteristic diameter may bedetermined by standard measurement techniques, such as dynamic lightscattering and static light scattering, or by examination via optical-or scanning-election microscopy, transmission-electron microscopy,coulter-counting methods, and size-exclusion field-flow fractionation.The resulting particles may be smaller, such as less than 1 μm incharacteristic diameter, less than 100 nm in characteristic diameter,and less than 50 nm in characteristic diameter. The size of themicrophases depends on the other components of the composition, such asthe drug and polymer, the manner in which the components of thecomposition are combined, (such as having the lipophilicmicrophase-forming material dispersed within the polymer/drugdispersion), as well as the components of the use environment. This isparticularly true in an in vivo use environment where the presence ofproteins, bile salts, and other surface active agents may cause somecompositions to form suitably small lipophilic microphases even thoughthey do not form such microphases in in vitro tests. In addition, it iswell known that, in the in vivo environment, many lipophilicmicrophase-forming materials such as mono-, di-, and tri-glycerides mayundergo chemical conversion to other species that in time form themicrophases. Thus the ultimate test of an appropriate lipophilicmicrophase-forming material and composition is best conducted in the invivo use environment.

The lability of a drug from the free drug phase into and out of thelipophilic microphase is generally a function of the microphase size. By“lability” is meant the kinetics or rate of drug release or drugpartitioning into or out of the microphase.

Generally, for a given mass of lipophilic microphase-forming material,lability increases as the size of the microphase decreases. As thesolubility of the drug decreases, it is preferable for thecharacteristic size of the microphase to be smaller. Thus, when thesolubility of the drug is extremely low, such as about 1 μg/ml or less,preferred compositions generally form microphases less than about 1 μmin characteristic diameter when dosed to the in vivo use environment.

The drug should also have a relatively high partition coefficient in thelipophilic microphase-forming material. By partition coefficient ismeant the ratio of the concentration of drug present in the lipophilicmicrophases to the free drug concentration as follows: $\begin{matrix}{K_{p} = \frac{\lbrack{Drug}\rbrack_{lipophile}}{\lbrack{Drug}\rbrack_{free}}} & (1)\end{matrix}$where K_(p) is the partition coefficient, [Drug]_(lipophile) is theconcentration of the drug in the lipophilic microphases, and[Drug]_(free) is the free drug concentration.

In a given volume of the aqueous use environment, the total amount ofdrug in the lipophilic microphases is also dependent on the amount oflipophilic microphase present.

Thus the concentration of drug in the lipophilic microphase per unitvolume of the aqueous use environment, [Drug]_(aqueous,lipophile), isgiven by:[Drug]_(aqueous,lipophile) =X _(lipophile) ·K _(p)·[Drug]_(free)where X_(lipophile) is the volume fraction of the lipophilic microphasein the use environment.

In situations where the drug is only present as free drug and drugwithin the lipophilic microphase, the total dissolved drug concentration[Drug]_(aqueous,total) is given by:[D]_(aqueous,total)=[Drug]_(free)+[Drug]_(aqueous,lipophile)  (II)[Drug]_(aqueous,total)=[Drug]_(free)·[1+X _(lipophile) ·K _(p)]

In order for the presence of the lipophile to have a large impact on thebioavailability of a composition, there generally must be a significantfraction of the total drug dosed that is within the lipophilicmicrophase. By significant fraction it is generally meant that at leastabout 0.1% and preferably at least about 1% of the total drug dosed ispresent in the use environment within the lipophilic microphase-formingmaterial. According to the above equations, the fraction of the totaldrug present within the lipophilic microphases generally increases with:(1) increasing K_(p), (2) increasing X_(lipophile), (3) increasing[Drug]_(free).

Since there are practical limits to the size of oral dosage forms thatmay be administered, it is generally undesirable to have large values ofX_(lipophile). For example, when the compositions of the presentinvention are formed into an oral tablet or capsule for administration,the mass of the tablet or capsule is generally less than about 1000 mgand preferably less than about 700 mg. Since a significant portion ofthe dosage form must also comprise the active drug and other excipients,the maximum amount of lipophilic microphase-forming material in a singleoral dosage form is about 500 mg. When dosed orally to the GI tract of ahuman, the aqueous volume into which the lipophilic microphase-formingmaterial composition disperses is generally about 50 ml up to about 500ml, depending on the fed state of the subject. Thus, the maximumpractical value for X_(lipophile) is about 0.001 to 0.01. Thus, forexample, when the dose of the drug is 100 mg, it is desirable to have atleast 0.1 wt % (0.1 mg) and preferably at least 1 wt % (1 mg) of thedrug be present in the lipophilic microphase-forming material. Thisgenerally means that the concentration of drug in the lipophilicmicrophase-forming material (in wt %) when the composition is dosedorally to a human is at least about 0.1 mg/500 mg or 0.02 wt % andpreferably at least about 0.2 wt % (1 mg/500 mg).

The minimum K_(p) may be determined by determining the K_(p) necessaryto achieve the desired concentration of drug in the lipophilicmicrophase forming material. Since the concentration of drug in thelipophilic microphase-forming material at equilibrium is given by:[Drug]_(lipophile)=[Drug]_(free) ·K _(P)

then the minimum K_(p) may be determined by setting the free drugconcentration, [Drug]_(free), to the maximum aqueous solubility of thedrug, S_(xtal). The minimum K_(p) should generally be at least about0.02 wt %/S_(xtal), preferably greater than about 0.2 wt %/S_(xtal),more preferably greater than about 0.5 wt %/S_(xtal), even morepreferably greater than about 1 wt %/S_(xtal), and most preferablygreater than about 2 wt %/S_(xtal). (The maximum aqueous solubility,S_(xtal), is the maximum solubility of the thermodynamically most stablecrystalline form of the drug, or the undispersed amorphous form if thecrystalline form is unknown, over the physiologically pH range of 1-8.)Thus, when the maximum aqueous solubility of the drug is about 100 μg/mlor about 0.01 wt %, then K_(p) should be greater than about 2 (0.02 wt%/0.01 wt %), preferably greater than about 20 (0.2 wt %/0.01 wt %),more preferably greater than about 50 (0.5 wt %/0.01 wt %), even morepreferably greater than 100 (1 wt %/0.01 wt %), and most preferablygreater than 200 (2 wt %/0.01 wt %). Thus, the minimum and preferredminimum values for K_(p) for various drug solubilities are given asfollows: More Even More Most Preferred Preferred Preferred PreferredS_(xtal) Minimum Minimum Minimum Minimum Minimum (μg/ml)[wt %] K_(p)K_(p) K_(p) K_(p) K_(p) 100 [0.01] 2 20 50 100 200 10 [0.001] 20 200 5001,000 2,000 1.0 [1 × 10⁻⁴] 200 2,000 5,000 10,000 20,000 0.1 [1 × 10⁻⁵]2,000 20,000 50,000 100,000 200,000 0.01 [1 × 10⁻⁶] 20,000 200,000500,000 1,000,000 2,000,000

The partition coefficient K_(p) for a drug in a particular lipophilicmicrophase-forming material may be determined by any method or series ofexperiments in which the concentration of drug present as free drug anddrug present in lipophilic microphases can be determined. One exemplarymethod is as follows. Crystalline drug (or amorphous drug if thecrystalline form of the drug is not known) is added to an appropriatebuffer solution such as PBS (described below) at an amount such that ifall of the drug dissolved the concentration would be greater than theequilibrium solubility of the drug. The concentration of free drug inthe solution is then determined by any technique that can quantitativelymeasure the amount of dissolved drug in solution, such ashigh-performance liquid chromatography (HPLC) or nuclear magneticresonance (NMR) spectroscopy. Typically, this is accomplished bycollecting a sample of the solution containing the drug and eitherfiltering or centrifuging the sample to remove undissolved drug species,and then analyzing the concentration of the remaining dissolved drug.This technique provides the value of [Drug]_(free) in Equation I. Next,crystalline drug is added to an appropriate buffer solution to whichvarious amounts of the lipophilic microphase-forming material had beenadded, such as 1 vol %, 2 vol % and 3 vol %, again at an amount suchthat if all of the drug dissolved the concentration of drug eitherpresent as free drug or in the lipophilic microphase would be greaterthan the equilibrium solubility of the drug with the lipophilicmicrophase-forming material present. The total concentration of totaldissolved drug, that is the sum of drug present as free drug plus drugpresent in lipophilic microphases, (as given in Equation II)—isdetermined using the same techniques described above. The totaldissolved drug concentration [Drug]_(aqueous,total) is then plottedversus the vol % lipophilic microphase-forming material in the solution.The slope of the line for this graph is equal to the product of the freedrug concentration (which is normally assumed to be equal to thesolubility of the drug in the absence of the lipophilicmicrophase-forming material, or S_(xtal)) and K_(p). Thus,K_(p)=slope/S_(xtal). When the aqueous solubility of the lipophilicmicrophase-forming material or the “critical micelle concentration”(CMC) of the lipophilic microphase-forming material is very smallrelative to the amount of lipophilic microphase-forming material used inthe above experiment, the y-intercept of the line through the datapoints is approximately equal to the crystalline drug solubility,S_(xtal).

When the amount of lipophilic microphase-forming material used is onlyslightly larger than the CMC or the lipophilic microphase-formingmaterial aqueous solubility, then the values of X_(lipophile) should becorrected by subtracting the CMC or solubility from the total volumefraction of lipophilic microphase-forming material added to thesolution.

In a preferred embodiment of this invention, the lipophilicmicrophase-forming material is part of the solid amorphous dispersion ofdrug and polymer. In such cases, it is preferred that the dispersioncomprise no greater than 50 wt % lipophilic microphase-forming material,preferably no greater than 40 wt %, more preferably no greater than 30wt %. When the lipophilic microphase-forming material is included in thedispersion, the glass-transition temperature (T_(g)) of the dispersionmay be reduced if the melting point of the lipophilic microphase-formingmaterial is low, potentially leading to reduced stability of the drug inthe dispersion. However, in many cases the addition of the lipophilicmicrophase-forming material also increases the solubility of the drug inthe polymer plus lipophilic microphase-forming material matrix. As aresult its addition may improve the stability of the dispersionregardless of its effect on T_(g). In cases where it is necessary tokeep the T_(g) of the dispersion high and the lipophilicmicrophase-forming material is part of the dispersion, it is generallypreferable for the material, if crystalline, to have a relatively highmelting point and if amorphous to have a relatively high T_(g).

Thus, the melt temperature or T_(g) of the lipophilic microphase-formingmaterial should be sufficiently high such that the T_(g) of thedispersion is at least 50° C. when tested under ambient humidityconditions (e.g., 50% relative humidity). More preferably, the T_(g) ofthe dispersion is at least 70° C. at 50% relative humidity, and mostpreferably at least 100° C. at 50% relative humidity. Other factors,such as the T_(g) of the drug, the T_(g) of the concentration-enhancingpolymer, the drug:polymer ratio, and the amount of lipophilicmicrophase-forming material included in the dispersion may affect theT_(g) of the dispersion, and these factors should be considered whenselecting a lipophilic microphase-forming material to use in acomposition.

Another preferred embodiment of the present invention is a solid oraldosage form comprising the novel compositions. The solid dosage form maytake the form of one or more tablets or capsules or a multiplicity ofparticles or granules. When the solid dosage form is one or more tabletsor capsules, the dosage form may be taken orally by swallowing whole,chewed and then swallowed, or the dosage form may disintegrate andoptionally dissolve in the mouth and then be swallowed. When the soliddosage form is a multiplicity of small particles or granules the powderor granules may be ingested by any known method, including firstdispersing in an aqueous vehicle and then swallowing, or mixing withfood and then ingesting along with the food.

In order for the compositions of the present invention to be efficientlyformed into solid dosage forms it is generally desirable for thelipophilic microphase-forming materials to have relatively high meltingpoints and relatively high T_(g) values. However, even lipophilicmicrophase-forming materials that are liquid at room temperature may beformed into solid dosage forms as long as the amount incorporated intothe dosage form is not too high.

When the lipophilic microphase-forming material is either a liquid atroom temperature or becomes liquid at a temperature of about 50° C. orless, a preferred embodiment is to disperse the lipophilicmicrophase-forming material in a solid excipient. The lipophilicmicrophase-forming material may be adsorbed to the surface of a solidmaterial such as microcrystalline cellulose; silica; dibasic calciumphosphate; calcium silicate (Zeodor™); clays, such as kaolin (hydratedaluminum silicate), bentonite (hydrated aluminum silicate), hectoriteand Veegum®; Na-, Al-, and Fe-montmorillonite; silicon dioxide(Cab-O—Sil® or Aerosil®); magnesium trisilicate; aluminum hydroxide;magnesium hydroxide, magnesium oxide or talc. Highly porous materialssuch as calcium silicate are preferred. This embodiment has theadvantage of separating the lipophilic microphase-forming material fromthe solid amorphous dispersion, thus minimizing the effect of thelipophilic microphase-forming material on the glass transitiontemperature of the dispersion. As described in more detail below, it isdesired that the dispersion have a high glass transition temperature inorder to provide good physical stability.

Alternatively, it may be dispersed in a water soluble or waterdispersible polymer, as either a separate phase, or homogeneouslythroughout the polymer. In one preferred embodiment, the lipophilicmicrophase-forming material is dispersed in a concentration-enhancingpolymer. Such lipophilic microphase-forming material dispersions serveto (1) render the lipophilic microphase-forming material solid to aid inincorporation into solid dosage forms, (2) aid in dispersing of thelipophilic microphase-forming material as a microphase, and (3) provideadditional concentration-enhancing polymer for generating and sustaininghigh concentrations of dissolved drug. In an often particularlypreferred embodiment, the lipophilic microphase-forming material isdispersed, along with the drug, in one or more concentration enhancingpolymers to form a single dispersion comprising the drug, the one ormore concentration-enhancing polymers, and the lipophilicmicrophase-forming material. Such lipophilic microphase-forming materialdispersions are often preferred even when the lipophilicmicrophase-forming material is a solid below about 50° C.

The lipophilic microphase-forming material may be either hydrophobic,amphiphilic, or a mixture of a hydrophobic and an amphiphilic material.By “amphiphilic” material is meant a material that has both hydrophobicand hydrophilic portions. Since hydrophobic materials alone tend not toform small microphases in an aqueous use environment, amphiphilic andmixtures of amphiphilic and hydrophobic materials are preferred.However, it is known that some such hydrophobic materials will formmicrophases due to the influence of (1) other excipients such as theconcentration-enhancing polymer, (2) the drug itself, or (3) naturallyoccurring components of the GI tract. Thus, hydrophobic materials aloneform a part of the invention as long as they form suitably smallmicrophases when the compositions or dosage forms are administered to ause environment. The use of a mixture of hydrophobic and amphiphilicmaterial may be preferred because the hydrophobic material oftenprovides a higher partition coefficient, while the amphiphilic materialmay limit or reduce the size of the lipophilic microphases in the useenvironment. Thus, such mixtures may have higher lability and higherpartition coefficients.

Generally, the lipophilic microphase-forming materials have a molecularweight of less than about 20,000 daltons. However, most lipophilicmicrophase-forming materials have molecular weights below about 2,000daltons. Additionally, the lipophilic microphase-forming materials arewater immiscible and form lipophilic microphases. The lipophilicmicrophase-forming material is therefore distinct from theconcentration-enhancing polymer. The concentration-enhancing polymersgenerally have molecular weights of greater than about 10,000 daltons,are more soluble or dispersible in the use environment, and aregenerally less hydrophobic.

Examples of amphiphilic materials suitable for use as the lipophilicmicrophase-forming material include: sulfonated hydrocarbons and theirsalts, such as sodium 1,4-bis(2-ethylhexyl)sulfosuccinate, also known asdocusate sodium (CROPOL) and sodium lauryl sulfate (SLS); poloxamers,also referred to as polyoxyethylene-polyoxypropylene block copolymers(PLURONICs, LUTROLs); polyoxyethylene alkyl ethers (CREMOPHOR A, BRIJ);polyoxyethylene sorbitan fatty acid esters (polysorbates, TWEEN);short-chain glyceryl mono-alkylates (HODAG, IMWITTOR, MYRJ);polyglycolized glycerides (GELUCIREs); mono- and di-alkylate esters ofpolyols, such as glycerol; nonionic surfactants such as polyoxyethylene20 sorbitan monooleate, (polysorbate 80, sold under the trademark TWEEN80, available commercially from ICI); polyoxyethylene 20 sorbitanmonolaurate (Polysorbate 20, TWEEN 20); polyethylene (40 or 60)hydrogenated castor oil (available under the trademarks CREMOPHOR® RH40and RH60 from BASF); polyoxyethylene (35) castor oil (CREMOPHOR® EL);polyethylene (60) hydrogenated castor oil (Nikkol HCO-60); alphatocopheryl polyethylene glycol 1000 succinate (Vitamin E TPGS); glycerylPEG 8 caprylate/caprate (available commercially under the registeredtrademark LABRASOL® from Gattefosse); PEG 32 glyceryl laurate (soldcommercially under the registered trademark GELUCIRE 44/14 byGattefosse), polyoxyethylene fatty acid esters (available commerciallyunder the registered trademark MYRJ from ICI), polyoxyethylene fattyacid ethers (available commercially under the registered trademark BRIJfrom ICI). Alkylate esters of polyols may be considered amphiphilic orhydrophobic depending on the number of alkylates per molecule and thenumber of carbons in the alkylate. When the polyol is glycerol, mono-and di-alkylates are often considered amphiphilic while trialkylates ofglycerol are generally considered hydrophobic. However, some scientistsclassify even medium chain mono- and di-glycerides as hydrophobic. Seefor example Patel et al U.S. Pat. No. 6,294,192 (B1), which isincorporated herein in its entirety by reference. Regardless of theclassification, compositions comprising mono- and di-glycerides arepreferred compositions of this invention. Other suitable amphiphilicmaterials may be found in Patel, U.S. Pat. No. 6,294,192 and are listedas “hydrophobic non-ionic surfactants and hydrophilic ionicsurfactants.”

It should be noted that some amphiphilic materials may not be waterimmiscible by themselves, but instead are at least somewhat watersoluble. Such amphiphilic materials may nevertheless be used in mixturesto form the lipophilic microphase, particularly when used as mixtureswith hydrophobic materials.

Examples of hydrophobic materials suitable for use as the lipophilicmicrophase-forming material include: medium-chain glyceryl mono-, di-,and tri-alkylates (CAPMUL MCM, MIGLYOL 810, MYVEROL 18-92, ARLACEL 186,fractionated coconut oil, light vegetable oils); sorbitan esters(ARLACEL 20, ARLACEL 40); long-chain fatty alcohols (stearyl alcohol,cetyl alcohol, cetostearyl alcohol); long-chain fatty-acids (stearicacid); and phospholipids (egg lecithin, soybean lecithin, vegetablelecithin, sodium taurocholic acid, and1,2-diacyl-sn-glycero-3-phosphocholine, such as 1-palmitoyl-2-oleyl-sn-glycero-3-phosphocoline, 1,2-dipalmitoyl-sn-glycero-3-phosphocholine,1,2-distearoyl-sn-glycero-3-phosphocholine,1-plamitoyl-2-stearoyl-sn-glycero-3-phosphocholine, and other natural orsynthetic phosphatidyl cholines); mono and diglycerides of capric andcaprylic acid under the following registered trademarks: Capmul® MCM,MCM 8, and MCM 10, available commercially from Abitec, and lmwitor® 988,742 or 308, available commercially from Condea Vista; polyoxyethylene 6apricot kernel oil, available under the registered trademark Labrafil® M1944 CS from Gattefosse; polyoxyethylene corn oil, availablecommercially as Labrafil® M 2125; propylene glycol monolaurate,available commercially as Lauroglycol from Gattefosse; propylene glycoldicaprylate/caprate available commercially as Captex® 200 from Abitec orMiglyol® 840 from Condea Vista, polyglyceryl oleate availablecommercially as Plurol oleique from Gattefosse, sorbitan esters of fattyacids (e.g., Span® 20, Crill® 1, Crill® 4, available commercially fromICI and Croda), and glyceryl monooleate (Maisine, Peceol); medium chaintriglycerides (MCT, C₆-C₁₂) and long chain triglycerides (LCT, C14-C20)and mixtures of mono-, di-, and triglycerides, or lipophilic derivativesof fatty acids such as esters with alkyl alcohols; fractionated coconutoils, such as Miglyol® 812 which is a 56% caprylic (C8) and 36% capric(C10) triglyceride, Miglyol® 810 (68% C8 and 28% C10), Neobee® M5,Captex® 300, Captex® 355, and Crodamol® GTCC; (Miglyols are supplied byCondea Vista Inc. (Huls), Neobee® by Stepan Europe, Voreppe, France,Captex by Abitec Corp., and Crodamol by Croda Corp); vegetable oils suchas soybean, safflower, corn, olive, cottonseed, arachis, sunflowerseed,palm, or rapeseed; fatty acid esters of alkyl alcohols such as ethyloleate and glyceryl monooleate. Other hydrophobic materials suitable foruse as the lipophilic microphase-forming material include those listedin Patel, U.S. Pat. No. 6,294,192 as “hydrophobic surfactants.”Exemplary classes of hydrophobic materials include: fatty alcohols;polyoxyethylene alkylethers; fatty acids; glycerol fatty acidmonoesters; glycerol fatty acid diesters; acetylated glycerol fatty acidmonoesters; acetylated glycerol fatty acid diesters, lower alcohol fattyacid esters; polyethylene glycol fatty acid esters; polyethylene glycolglycerol fatty acid esters; polypropylene glycol fatty acid esters;polyoxyethylene glycerides; lactic acid derivatives of monoglycerides;lactic acid derivatives of diglycerides; propylene glycol diglycerides;sorbitan fatty acid esters; polyoxyethylene sorbitan fatty acid esters;polyoxyethylene-polyoxypropylene block copolymers; transesterifiedvegetable oils; sterols; sterol derivatives; sugar esters; sugar ethers;sucroglycerides; polyoxyethylene vegetable oils; polyoxyethylenehydrogenated vegetable oils; reaction products of polyols and at leastone member of the group consisting of fatty acids, glycerides, vegetableoils, hydrogenated vegetable oils, and sterols; and mixtures thereof.Mixtures of relatively hydrophilic materials, such as those termedherein as “amphiphilic” or in Patel as “hydrophilic surfactants” and theabove hydrophobic materials are particularly suitable.

Specifically, the mixtures of hydrophobic surfactants and hydrophilicsurfactants disclosed by Patel are suitable and for many compositions,preferred. However, unlike Patel, mixtures that include triglycerides asa hydrophobic component are also suitable.

In one embodiment, the lipophilic microphase-forming material isselected from the group consisting of polyglycolized glycerides(GELUCIREs); polyethylene (40 or 60) hydrogenated castor oil (availableunder the trademarks CREMOPHOR® RH40 and RH60 from BASF);polyoxyethylene (35) castor oil (CREMOPHOR® EL); polyethylene (60)hydrogenated castor oil (Nikkol HCO-60); alpha tocopheryl polyethyleneglycol 1000 succinate (Vitamin E TPGS); glyceryl PEG 8 caprylate/caprate(available commercially under the registered trademark LABRASOL® fromGattefosse); PEG 32 glyceryl laurate (sold commercially under theregistered trademark GELUCIRE 44/14 by Gattefosse); polyoxyethylenefatty acid esters (available commercially under the registered trademarkMYRJ from ICI); polyoxyethylene fatty acid ethers (availablecommercially under the registered trademark BRIJ from ICI);polyoxyethylene-polyoxypropylene block copolymers (PLURONICs, LUTROLs);polyoxyethylene alkyl ethers (CREMOPHOR A, BRIJ); long-chain fattyalcohols (stearyl alcohol, cetyl alcohol, cetostearyl alcohol);long-chain fatty-acids (stearic acid); polyoxyethylene 6 apricot kerneloil, available under the registered trademark Labrafil® M 1944 CS fromGattefosse; polyoxyethylene corn oil, available commercially asLabrafil® M 2125; propylene glycol monolaurate, available commerciallyas Lauroglycol from Gattefosse; polyglyceryl oleate availablecommercially as Plurol oleique from Gattefosse; triglycerides, includingmedium chain triglycerides (MCT, C₆-C₁₂) and long chain triglycerides(LCT, C₁₄-C₂₀); fractionated coconut oils, such as Miglyol® 812 which isa 56% caprylic (C₈) and 36% capric (C₁₀) triglyceride, Miglyol® 810 (68%C₈ and 28% C₁₀), Neobee® M5, Captex® 300, Captex® 355, and Crodamol®GTCC; (Miglyols are supplied by Condea Vista Inc. [Huls], Neobee® byStepan Europe, Voreppe, France, Captex by Abitec Corp., and Crodamol byCroda Corp); vegetable oils such as soybean, safflower, corn, olive,cottonseed, arachis, sunflowerseed, palm, or rapeseed; polyoxyethylenealkylethers; fatty acids; lower alcohol fatty acid esters; polyethyleneglycol fatty acid esters; polyethylene glycol glycerol fatty acidesters; polypropylene glycol fatty acid esters; polyoxyethyleneglycerides; lactic acid derivatives of monoglycerides; lactic acidderivatives of diglycerides; propylene glycol diglycerides;transesterified vegetable oils; sterols; sterol derivatives; sugaresters; sugar ethers; sucroglycerides; polyoxyethylene vegetable oils;polyoxyethylene hydrogenated vegetable oils; reaction products ofpolyols and at least one member of the group consisting of fatty acids,glycerides, vegetable oils, hydrogenated vegetable oils, and sterols;and mixtures thereof.

Especially preferred lipophilic microphase-forming materials includemixtures of polyethoxylated castor oils and medium-chain glyceryl mono-,di-, and/or tri-alkylates, (such as mixtures of CREMOPHOR RH40 andCAPMUL MCM), mixtures of polyoxyethylene sorbitan fatty acid esters andmedium-chain glyceryl mono-, di-, and/or tri-alkylates, (such asmixtures of TWEEN 80 and CAPMUL MCM), mixtures of polyethoxylated castoroils and medium-chain glyceryl mono-, di-, and/or tri-alkylates, (suchas mixtures of CREMOPHOR RH40 and ARLACEL 20), mixtures of sodiumtaurocholic acid and palmitoyl-2-oleyl-sn-glycero-3-phosphocholine andother natural or synthetic phosphatidylcholines, and mixtures ofpolyglycolized glycerides and medium-chain glyceryl mono-, di-, and/ortri-alkylates, (such as mixtures of Gelucire 44/14 and CAPMUL MCM).

The lipophilic microphase-forming material is present in a sufficientamount so that the combination of the solid amorphous dispersion andlipophilic microphase-forming material provides concentrationenhancement, as described more fully below. In general, the lipophilicmicrophase-forming material is either present in the composition orco-administered with the solid amorphous dispersion such that the weightratio of the lipophilic microphase-forming material to drug (hereinafterreferred to as the lipophile:drug ratio) ranges from 0.1 to 100 (wt/wt),and more typically from 0.2 to 50.

The optimum amount of the lipophilic microphase-forming material dependson the mass of the dose of the drug, the partition coefficient, and thesolubility of the drug. The optimum mass of the lipophilicmicrophase-forming material increases as the mass of the dose increases.The optimum mass of the lipophilic microphase-forming material decreasesas the partition coefficient increases and as the solubility increases.

Nevertheless, in general, the amount of lipophilic microphase formingmaterial present in the composition should not be so high that theconcentration of free drug obtained in the use environment is much lowerthan that obtained when less lipophilic microphase-forming material iscombined with the solid amorphous dispersion and is introduced to theuse environment. Generally, when the amount of lipophilicmicrophase-forming material that is added to the composition is greaterthan the amount such that all of the drug introduced to the useenvironment is either present as free drug or is in the lipophilicmicrophases, then the performance, in terms of improving drugabsorption, will be reduced relative to lower levels of the lipophilicmicrophase-forming material. Thus, it is preferred for compositions tocontain less than this “maximum preferred level.” Nonetheless, levels oflipophilic microphase-forming material somewhat above this level maystill improve drug absorption relative to the dispersion alone. Thismaximum preferred level will depend on the free drug concentration([Drug]_(free), typically given in mg/ml), the density of the lipophilicmicrophase-forming material (ρ_(lipophile), typically given in mg/ml),and the partition coefficient (K_(p)). The maximum preferredlipophile:drug ratio is given by the following equation:Maximum lipophile:drug ratio=ρ_(lipophile)/(K _(p)·[Drug]_(free))

It should be noted that for some values of K_(p) and [Drug]_(free), themaximum preferred lipophile:drug ratio will be quite large. For example,when ρ_(lipophile)=1000 mg/mL, K_(p)=100, and [Drug]_(free)=0.001 mg/mL,the maximum preferred lipophile:drug ratio is calculated to be 10,000.If the drug dose is, for example 100 mg, this results in a maximumpreferred lipophile dose of 1000 g. Such high doses of lipophile areimpractical. Thus when the value of K_(p) and/or [Drug]_(free) are low,the maximum preferred lipophile:drug ratio may be limited by practicalconsiderations such as the maximum dose well tolerated by the subject orthe maximum practical size of the dosage form.

Preparation of Compositions

Compositions of the present invention may be prepared according to anytechnique that results in a mixture comprising (1) a solid amorphousdispersion comprising a low-solubility drug and aconcentration-enhancing polymer and (2) a lipophilic microphase-formingmaterial. In one method, a solid amorphous dispersion of the drug,polymer and lipophilic microphase-forming material is formed so that thelipophilic microphase-forming material is included in the dispersionitself. Alternatively, a solid amorphous dispersion of drug and polymermay be formed and then mixed with the lipophilic microphase-formingmaterial so that the lipophilic microphase-forming material is mixedwith but not included within the dispersion. As yet another alternative,the solid amorphous dispersion of the drug and polymer may be preparedand then co-administered with a lipophilic microphase-forming materialto a use environment, so that the dispersion and lipophilicmicrophase-forming material are both present in the use environment.

Dispersions of a low-solubility drug and polymer may be made accordingto any known process which results in at least a “major portion”(meaning at least 60 wt %) of the drug being in the amorphous state.While the drug in its pure state may be crystalline or amorphous, atleast a major portion of the drug in the dispersion is amorphous. By“amorphous” is meant simply that the drug is in a non-crystalline state.

As used herein, the term “a major portion” of the drug means that atleast 60 wt % of the drug in the dispersion is in the amorphous form. Ithas also been found that the aqueous concentration of the drug in a useenvironment tends to improve as the fraction of drug present in theamorphous state in the dispersion increases. Accordingly the drug in thedispersion may be substantially amorphous, and preferably may be almostcompletely amorphous. As used herein, “substantially amorphous” meansthat at least 75 wt % of the drug is amorphous and “almost completelyamorphous” means that at least 90 wt % of the drug is amorphous. Theamount of drug in the dispersion which is amorphous or crystalline maybe measured by powder X-ray diffraction, Scanning Electron Microscope(SEM) analysis, differential scanning calorimetry (DSC), or any otherstandard quantitative measurement.

The amorphous drug can exist as a pure phase, as a solid solution ofdrug homogeneously distributed throughout the polymer or any combinationof these states or those states that lie intermediate between them. Thedispersion is preferably “substantially homogeneous” so that theamorphous drug is dispersed as homogeneously as possible throughout thepolymer. Dispersions of the present invention that are substantiallyhomogeneous generally have improved concentration-enhancing propertiesand, in turn improved bioavailability, relative to nonhomogeneousdispersions. As used herein, “substantially homogeneous” means that thedrug present in relatively pure amorphous domains within the soliddispersion is relatively small, on the order of less than 20%, andpreferably less than 10% of the total amount of drug.

While the dispersion may have some drug-rich domains, it is preferredthat the dispersion itself have a single glass transition temperature(T_(g)) which demonstrates that the dispersion is substantiallyhomogeneous. This contrasts with a simple physical mixture of pureamorphous drug particles and pure amorphous polymer particles whichgenerally displays two distinct T_(g)s, one that of the drug and onethat of the polymer. T_(g) as used herein is the characteristictemperature where a glassy material, upon gradual heating, undergoes arelatively rapid (e.g., 10 to 100 seconds) physical change from a glassstate to a rubber state. Dispersions with more than one T_(g),indicating at least partial amorphous phase separation, may alsofunction well, particularly when neither amorphous phase is comprisedonly of amorphous drug, but rather also contains a significant amount ofconcentration-enhancing polymer.

When the lipophilic microphase-forming material is included in thedispersion, it may exist as a pure lipophilic phase, as a solid solutionof the lipophilic microphase-forming material homogeneously distributedthroughout the dispersion, or any combination of these states or thosestates that lie intermediate between them. Generally, it is preferredthat the lipophilic microphase-forming material be well distributedthroughout the dispersion, either as small, preferably less than 1 μm indiameter, relatively pure domains of lipophilic microphase-formingmaterial, or more preferably, dispersed such that it is at leastpartially dissolved in the drug and polymer solid amorphous dispersion.

The solid amorphous dispersions of the drug and polymer may be madeaccording to any conventional process for forming dispersions. When thelipophilic microphase-forming material is included in the dispersion,such dispersions may also be made according to any conventional processfor forming dispersions. Such processes include mechanical, thermal andsolvent processes. Exemplary mechanical processes include milling andextrusion; melt processes include high temperature fusion, solventmodified fusion and melt-congeal processes; and solvent processesinclude non-solvent precipitation, spray coating and spray-drying. See,for example, U.S. Pat. No. 5,456,923 and U.S. Pat. No. 5,939,099 whichdescribe formation of dispersions via extrusion processes; U.S. Pat. No.5,340,591 and U.S. Pat. No. 4,673,564 which describe forming dispersionsby milling processes; and U.S. Pat. No. 5,707,646 and U.S. Pat. No.4,894,235 which describe the formation of dispersions via melt/congealprocesses, the disclosures of which are incorporated by reference.

In one embodiment, the solid amorphous dispersion of drug andconcentration-enhancing polymer may be formed via a melt-congeal ormelt-extrusion process. Such processes are particularly suitable whenthe drug has a relatively low melting point, typically less than about200° C. and preferably less than about 150° C. In such processes, amolten mixture comprising the drug and concentration-enhancing polymer,and optionally, lipophilic microphase-forming material, is rapidlycooled such that the molten mixture solidifies to form a solid amorphousdispersion. By “molten mixture” is meant that the mixture comprising thedrug and concentration-enhancing polymer is about 10° C. or more abovethe melting point of the lowest melting point component in thecomposition. The drug may exist in the molten mixture as a pure phase,as a solution of drug homogeneously distributed throughout the moltenmixture, or any combination of these states or those states that lieintermediate between them. The molten mixture is preferablysubstantially homogeneous so that the drug is dispersed as homogeneouslyas possible throughout the molten mixture. As mentioned above, it isalso desirable that the lipophilic microphase-forming material bedispersed as homogeneously as possible throughout the molten mixture.When the temperature of the molten mixture is below the melting point ofboth the drug and the concentration-enhancing polymer, the moltenexcipients, concentration-enhancing polymer, and drug are preferablysufficiently soluble in each other that a substantial portion of thedrug disperses in the concentration-enhancing polymer or excipients. Itis often preferred that the mixture be heated above the lower of themelting point of the concentration-enhancing polymer, the drug, and thelipophilic microphase-forming material, if present.

Generally, the processing temperature may vary from 50° C. up to about200° C. or higher, depending on the melting point of the drug andpolymer, which is a function of the polymer grade selected, and thelipophilic microphase-forming material, if present. However, theprocessing temperature should not be so high that an unacceptably highlevel of degradation of the drug or polymer occurs. In some cases, themolten mixture should be formed under an inert atmosphere to preventdegradation of the drug and/or polymer at the processing temperature.When relatively high temperatures are used, it is often preferable tominimize the time that the mixture is at the elevated temperature tominimize degradation.

The molten mixture may also comprise an excipient that will reduce themelting temperature of the composition (either the drug and/or thepolymer), allowing processing at lower temperature. When such excipientshave low volatility and substantially remain in the mixture uponsolidification, they generally can comprise up to 30 wt % of the moltenmixture. For example, a plasticizer may be added to the composition toreduce the melting temperature of the polymer. Examples of plasticizersinclude water, triethylcitrate, triacetin, and dibutyl sebacate.Volatile agents that dissolve or swell the polymer, such as acetone,water, methanol, and ethyl acetate, may also be added in low quantitiesto reduce the melting point of the composition. When such volatileexcipients are added, at least a portion, up to essentially all of suchexcipients, may evaporate in the process of or following conversion ofthe molten mixture to a solid mixture. In such cases, the processing maybe considered to be a combination of solvent processing andmelt-congealing or melt-extrusion. Removal of such volatile excipientsfrom the molten mixture can be accomplished by breaking up or atomizingthe molten mixture into small droplets and contacting the droplets witha fluid such that the droplets both cool and lose all or part of thevolatile excipient. Examples of other excipients that can be added tothe composition to reduce the processing temperature include lowmolecular weight polymers or oligomers, such as polyethylene glycol,polyvinylpyrrolidone, and poloxamers; fats and oils, including mono-,di-, and triglycerides; natural and synthetic waxes, such as carnaubawax, beeswax, microcrystalline wax, castor wax, and paraffin wax;long-chain alcohols, such as cetyl alcohol and stearyl alcohol; andlong-chain fatty acids, such as stearic acid. When the lipophilicmicrophase-forming material is added to the molten mixture, thelipophilic microphase-forming material may act to reduce the meltingtemperature of the composition. As mentioned above, when the excipientadded is volatile, it may be removed from the mixture while still moltenor following solidification to form the solid amorphous dispersion.

Virtually any process may be used to form the molten mixture. One methodinvolves melting the concentration-enhancing polymer in a vessel andthen adding the drug, and optionally, the lipophilic microphase-formingmaterial, to the molten polymer. Another method involves melting thedrug, and optionally, the lipophilic microphase-forming material, in avessel and then adding the concentration-enhancing polymer. As thelipophilic microphase-forming material may often be a liquid at roomtemperature or may have a low melting point relative to the polymer, itis often preferred to use this last method. In yet another method, asolid blend of the drug, concentration-enhancing polymer, andoptionally, the lipophilic microphase-forming material, may be added toa vessel and the blend heated to form the molten mixture. When thelipophilic microphase-forming material is included in the dispersion, itmay be mixed with the drug and polymer before or after forming themolten mixture. Alternatively, the lipophilic microphase-formingmaterial may first be melted, if it is not already liquid, and the drugand polymer added to the molten lipophilic microphase-forming materialto form the molten mixture.

Once the molten mixture is formed, it may be mixed to ensure the drug ishomogeneously distributed throughout the molten mixture. Such mixing maybe done using mechanical means, such as overhead mixers, magneticallydriven mixers and stir bars, planetary mixers, and homogenizers.Optionally, when the molten mixture is formed in a vessel, the contentsof the vessel can be pumped out of the vessel and through an in-line orstatic mixer and then returned to the vessel. The amount of shear usedto mix the molten mixture should be sufficiently high to ensure uniformdistribution of the drug in the molten mixture. The molten mixture canbe mixed from a few minutes to several hours, the mixing time beingdependent on the viscosity of the mixture and the solubility of the drugand any optional excipients in the concentration-enhancing polymer.

An alternative method of preparing the molten mixture is to use twovessels, melting the drug and optionally, the lipophilicmicrophase-forming material in the first vessel and theconcentration-enhancing polymer and optionally, lipophilicmicrophase-forming material in a second vessel. The two melts are thenpumped through an in-line static mixer or extruder to produce the moltenmixture that is then rapidly solidified.

Alternatively, the molten mixture can be generated using an extruder,such as a single-screw or twin-screw extruder, both well known in theart. In such devices, a solid, or semi-solid mixture of the compositionis fed to the extruder whereby the combination of heat and shear forceswithin the extruder produce a uniformly mixed molten mixture, which canthen be rapidly solidified to form the solid amorphous dispersion. Thesolid feed can be prepared using methods well known in the art forobtaining solid mixtures with high content uniformity. Alternatively,the extruder may be equipped with two or more feeders, allowing thedrug, and optionally the lipophilic microphase-forming material, to befed to the extruder through one feeder and the polymer, and optionallythe lipophilic microphase-forming material, through the other. Otherexcipients to reduce the processing temperature as described above maybe included in the solid feed, or in the case of liquid excipients, suchas water, may be injected into the extruder using methods well-known inthe art.

The extruder should be designed such that it produces a molten mixturewith the drug uniformly distributed throughout the composition. Thevarious zones in the extruder should be heated to appropriatetemperatures to obtain the desired extrudate temperature as well as thedesired degree of mixing or shear, using procedures well known in theart.

When the drug has a high solubility in the concentration-enhancingpolymer, and optionally the lipophilic microphase-forming material, alower amount of mechanical energy will be required to form thedispersion. In such cases, when the melting point of the undisperseddrug is greater than the melting point of the undispersedconcentration-enhancing polymer, and optionally the lipophilicmicrophase-forming material, the processing temperature may be below themelting temperature of the undispersed drug but greater than the meltingpoint of the polymer, and optionally the lipophilic microphase-formingmaterial, since the drug will dissolve into the molten polymer, and ifpresent, the lipophilic microphase-forming material. When the meltingpoint of the undispersed drug is less than the melting point of theundispersed concentration-enhancing polymer, and optionally thelipophilic microphase-forming material, the processing temperature maybe above the melting point of the undispersed drug but below the meltingpoint of the undispersed concentration-enhancing polymer since themolten drug will dissolve in the polymer, and optionally the lipophilicmicrophase-forming material, or be absorbed into the polymer.

When the drug has a low solubility in the polymer and optionallipophilic microphase-forming material, a higher amount of mechanicalenergy may be required to form the dispersion. Here, the processingtemperature may need to be above the melting point of the drug and thepolymer. As mentioned above, alternatively, a liquid or low-meltingpoint excipient may be added that promotes melting or the mutualsolubility of the concentration-enhancing polymer and the drug. A highamount of mechanical energy may be needed to mix the drug and thepolymer to form a dispersion. Typically, the lowest processingtemperature and an extruder design that imparts the lowest amount ofmechanical energy (e.g., shear) that produces a satisfactory dispersion(substantially amorphous and substantially homogeneous) is chosen inorder to minimize the exposure of the drug to harsh conditions.

Once the molten mixture of drug, concentration-enhancing polymer, andoptionally the lipophilic microphase-forming material is formed, themixture should be rapidly solidified to form the solid amorphousdispersion. Rapid solidification is only necessary when the drug andother materials in the molten mixture are not miscible. By “rapidlysolidified” is meant that the molten mixture is solidified sufficientlyfast such that substantial phase separation of the drug from the othermaterials does not occur.

Typically, this means that the mixture should be solidified in less thanabout 10 minutes, preferably less than about 5 minutes, more preferablyless than about 1 minute. If the mixture is not rapidly solidified,phase separation can occur, if the materials are not miscible at storagetemperatures, resulting in the formation of drug-rich phases.

Solidification often takes place primarily by cooling the molten mixtureto at least about 10° C. and preferably at least about 30° C. below itsmelting point. As mentioned above, solidification can be additionallypromoted by evaporation of all or part of one or more volatileexcipients or solvents. To promote rapid cooling and evaporation ofvolatile excipients, the molten mixture is often formed into a highsurface area shape such as a rod or fiber or droplets. For example, themolten mixture can be forced through one or more small holes to formlong thin fibers or rods or may be fed to a device, such as an atomizersuch as a rotating disk, that breaks the molten mixture up into dropletsfrom 1 μm to 1 cm in diameter. The droplets are then contacted with arelatively cool fluid such as air or nitrogen to promote cooling andevaporation.

Another method for forming solid amorphous dispersions is by “solventprocessing,” which consists of dissolution of the drug and one or moreconcentration-enhancing polymers, as well as, optionally, the one ormore materials that make up the lipophilic microphase-forming material,in a common solvent. Optionally, the lipophilic microphase-formingmaterial may also be dissolved or suspended in the solvent. “Common”here means that the solvent, which can be a mixture of compounds, willdissolve the drug and the polymer(s). Although it need not completelydissolve the lipophilic microphase-forming material, it is oftenpreferred to use a solvent in which the lipophilic microphase-formingmaterial is also soluble. After both the drug, the polymer, andoptionally the lipophilic microphase-forming material have beendissolved, the solvent is rapidly removed by evaporation or by mixingwith a non-solvent. Exemplary processes are spray-drying, spray-coating(pan-coating, fluidized bed coating, etc.), and precipitation by rapidmixing of the polymer and drug solution with CO₂, water, or some othernon-solvent.

The solvent may be removed through the process of spray-drying. The termspray-drying is used conventionally and broadly refers to processesinvolving breaking up liquid mixtures into small droplets (atomization)and rapidly removing solvent from the mixture in a container(spray-drying apparatus) where there is a strong driving force forevaporation of solvent from the droplets. The strong driving force forsolvent evaporation is generally provided by maintaining the partialpressure of solvent in the spray-drying apparatus well below the vaporpressure of the solvent at the temperature of the drying droplets. Thisis accomplished by either (1) maintaining the pressure in thespray-drying apparatus at a partial vacuum (e.g., 0.01 to 0.50 atm); (2)mixing the liquid droplets with a warm drying gas; or (3) both. Inaddition, a portion of the heat required for evaporation of solvent maybe provided by heating the spray solution.

Solvents suitable for spray-drying can be any compound in which the drugand polymer are mutually soluble. If the lipophilic microphase-formingmaterial is part of the dispersion, it may be soluble in the solvent ormay be suspended in the solvent.

Preferably, the solvent is volatile with a boiling point of 150° C. orless. In addition, the solvent should have relatively low toxicity andbe removed from the dispersion to a level that is acceptable accordingto The International Committee on Harmonization (ICH) guidelines.Removal of solvent to this level may require a processing step such astray-drying subsequent to the spray-drying or spray-coating process.Preferred solvents include alcohols such as methanol, ethanol,n-propanol, iso-propanol, and butanol; ketones such as acetone, methylethyl ketone and methyl iso-butyl ketone; esters such as ethyl acetateand propylacetate; and various other solvents such as acetonitrile,methylene chloride, toluene, and 1,1,1-trichloroethane. Lower volatilitysolvents such as dimethyl acetamide or dimethylsulfoxide can also beused. Mixtures of solvents, such as 50% methanol and 50% acetone, canalso be used, as can mixtures with water as long as the polymer and drugare sufficiently soluble to make the spray-drying process practicable.

Generally, the temperature and flow rate of the drying gas is chosen sothat the polymer/drug-solution droplets are dry enough by the time theyreach the wall of the apparatus that they are essentially solid, and sothat they form a fine powder and do not stick to the apparatus wall. Theactual length of time to achieve this level of dryness depends on thesize of the droplets. Droplet sizes generally range from 1 μm to 500 μmin diameter, with 5 μm to 100 μm being more typical. The largesurface-to-volume ratio of the droplets and the large driving force forevaporation of solvent leads to actual drying times of a few seconds orless, and more typically less than 0.1 second.

Solidification times should be less than 100 seconds, preferably lessthan a few seconds, and more preferably less than 1 second. The size ofdroplets formed during the spray-drying process are typically less thanabout 200 μm in diameter. The resultant solid particles thus formed aregenerally less than about 200 μm in diameter.

Following solidification, the solid powder typically stays in thespray-drying chamber for about 5 to 60 seconds, further evaporatingsolvent from the solid powder. The final solvent content of the soliddispersion as it exits the dryer should be low, since this reduces themobility of the drug molecules in the dispersion, thereby improving itsstability. Generally, the solvent content of the dispersion as it leavesthe spray-drying chamber should be less than 10 wt % and preferably lessthan 2 wt %. In some cases, it may be preferable to spray a solvent or asolution of a polymer or other excipient into the spray-drying chamberto form granules, so long as the dispersion is not adversely affected.

Spray-drying processes and spray-drying equipment are describedgenerally in Perry's Chemical Engineers' Handbook, Sixth Edition (R. H.Perry, D. W. Green, J. O. Maloney, eds.) McGraw-Hill Book Co. 1984,pages 20-54 to 20-57. More details on spray-drying processes andequipment are reviewed by Marshall “Atomization and Spray-Drying,” 50Chem. Eng. Prog. Monogr. Series 2 (1954). Further details of the spraydrying procedure are disclosed in commonly owned Provisional U.S. PatentApplication Ser. Nos. 60/354,080 and 60/353,986, the disclosures ofwhich are incorporated herein by reference (Attorney Docket Nos. PC23195and PC23203).

The amount of polymer relative to the amount of drug present in thesolid amorphous dispersion depends on the drug and polymer and may varywidely from a drug-to-polymer weight ratio of from 0.01 to about 4(e.g., 1 wt % drug to 80 wt % drug in the absence of other excipients inthe dispersion). However, in most cases it is preferred that thedrug-to-polymer ratio is greater than about 0.05 (4.8 wt % drug in theabsence of other excipients) and less than about 2.5 (71 wt % drug inthe absence of other excipients). In some embodiments, the addition ofthe lipophilic microphase-forming material allows for higher drugloadings. Thus, the drug:polymer ratio may be at least 1.

The dispersion is usually in the form of small particles. The particlesmay be less than 500 μm in diameter, less than 100 μm in diameter, lessthan 50 μm in diameter, or less than 25 μm in diameter. When thedispersion is formed by spray-drying, the resulting dispersion is in theform of such small particles. When the dispersion is formed by othermethods such by melt-congeal or melt-extrusion processes, the resultingdispersion may be sieved, ground, milled, or otherwise processed toyield a plurality of small particles.

In cases where the composition of the present invention is prepared bymixing the previously formed solid amorphous dispersion with thelipophilic microphase-forming material, the mixture can be prepared byany method that results in a uniform mixture of the dispersion and thelipophilic microphase-forming material. Mixing processes includephysical mixing as well as wet- and dry-granulation and coatingprocesses. The resulting mixture may be a solid composition comprisingthe dispersion suspended in the lipophilic microphase-forming material,a mixture of separate dispersion particles and lipophilicmicrophase-forming material particles interspersed with one another, aseries of respective layers of dispersion and lipophilicmicrophase-forming material, or any other mixture of dispersion andlipophilic microphase-forming material.

In many cases, to aid the dispersing of the lipophilicmicrophase-forming material in the use environment, it is oftendesirable to disperse the lipophilic microphase-forming material in awater soluble or water dispersable matrix prior to forming the mixture.Alternatively, the lipophilic microphase-forming material may beadsorbed to a water insoluble substrate such as dibasic calciumphosphate, calcium carbonate, microcrystalline cellulose, silicondioxide calcium silicate; clays, such as kaolin (hydrated aluminumsilicate), bentonite (hydrated aluminum silicate), hectorite andVeegum®; silicon dioxide (Cab-O—Sil® or Aerosil®); magnesiumtrisilicate; aluminum hydroxide; magnesium hydroxide, magnesium oxide ortalc. Highly porous materials such as calcium silicate are preferred.When the lipophilic microphase-forming material is dispersed in a waterdispersable matrix, the dispersion may be formed by any of the processesdescribed previously for forming the polymer/drug dispersion includingmelt processes such as extrusion, solvent processes such asspray-drying, as well as conventional wet and dry granulation processes.Following forming the adsorbate dispersion or granule of lipophilicmicrophase-forming material the dispersion or granule containing thelipophilic microphase-forming material may then be blended with thepolymer/drug dispersion.

When it is desired to adsorb (or absorb) the lipophilicmicrophase-forming material onto a solid substrate, the lipophilicmicrophase-forming material may be adsorbed onto the solid substrateusing any conventional method. In one exemplary method, the substrate isinitially dried to remove water. The lipophilic microphase-formingmaterial is then combined with the substrate. The lipophilicmicrophase-forming material may be combined with the substrate by theuse of a planetary mixer, a Z-blade mixer, a rotogranulator or similarequipment. Preferably, the amount of lipophilic microphase-formingmaterial is kept sufficiently low so that the mixture of lipophilicmicrophase-forming material and solid substrate forms a free-flowingpowder. The proportion of lipophilic microphase-forming material tosolid substrate preferably is less than about 4:1 (wt:wt) lipophilicmicrophase-forming material to solid substrate. As the weight ratio oflipophilic microphase-forming material to substrate increases, thematerial becomes cake-like, and then oily or slurry-like. The particularratio will depend on the porosity of the substrate and the nature of thelipophilic microphase-forming material. The lipophilicmicrophase-forming material may be diluted in a solvent such as methanolprior to adsorbing the lipophilic microphase-forming material to thesolid substrate. The resulting slurry is dried, for example in a vacuumdesiccator, to form a solid material comprising the lipophilicmicrophase-forming material and substrate. This solid material may thenbe combined with the solid amorphous dispersion.

Mixing methods include convective mixing, shear mixing, or diffusivemixing. Convective mixing involves moving a relatively large mass ofmaterial from one part of a powder bed to another, by means of blades orpaddles, revolving screw, or an inversion of the powder bed. Shearmixing occurs when slip planes are formed in the material to be mixed.Diffusive mixing involves an exchange of position by single particles.These mixing processes can be performed using equipment in batch orcontinuous mode. Tumbling mixers (e.g., twin-shell) are commonly usedequipment for batch processing. Continuous mixing can be used to improvecomposition uniformity. Continuous mixers include “in-line” mixers andextruders. Extruders may be single screw or twin-screw. Twin-screwextruders may turn in the same or opposite direction.

Milling may also be employed to combine the dispersion and thelipophilic microphase-forming material. Milling is the mechanicalprocess of reducing the particle size of solids (comminution). Becausein some cases milling may alter crystalline structure and cause chemicalchanges for some materials, milling conditions are generally chosenwhich do not alter the physical form of the dispersion in the sense thatthe drug in the dispersion is no longer amorphous. The most common typesof milling equipment are the rotary cutter, the hammer, the roller, andfluid energy mills.

Equipment choice depends on the characteristics of the ingredients inthe composition (e.g., soft, abrasive, or friable). Wet- or dry-millingtechniques can be chosen for several of these processes, also dependingon the characteristics of the ingredients (e.g. dispersion stability insolvent). The milling process may serve simultaneously as a mixingprocess if the feed materials are heterogeneous. Conventional mixing andmilling processes suitable for use in the present invention arediscussed more fully in Lachman, et al., The Theory and Practice ofIndustrial Pharmacy (3d Ed. 1986).

The dispersion and lipophilic microphase-forming material may also becombined by dry- or wet-granulating processes as long as granulatingconditions are chosen such that the dispersion remains a solid amorphousdispersion.

In addition to the physical mixtures described above, the compositionsof the present invention may constitute any device or collection ofdevices that accomplishes the objective of delivering to the useenvironment both the dispersion and the lipophilic microphase-formingmaterial.

In a particularly preferred embodiment, the polymer/drug dispersion inlipophilic microphase-forming material, or alternatively, a solidamorphous dispersion of polymer, drug and lipophilic microphase-formingmaterial, are incorporated into the same solid dosage form such as acapsule or tablet. In order to deliver the desired dose of drug to theuse environment, more than one such capsule or tablet may be dosed. Asolid amorphous dispersion of drug and polymer, together with thelipophilic microphase-forming material, may both be delivered“immediately” to the use environment, meaning that both aresubstantially released from the dosage form in less than about 30minutes, or one or both of the dispersion and lipophilicmicrophase-forming material may be delivered over a period of 1 to 20hours in a sustained, delayed or pulsatile fashion. Thus, the dosageform may be considered a controlled release dosage form in which thedispersion, the lipophilic microphase-forming material or both thedispersion and the lipophilic microphase-forming material are deliveredto the use environment over a 1- to 20-hour period.

Thus, in the case of oral administration to an animal, the dosage formmay constitute a layered tablet wherein one or more layers comprise thedispersion and one or more other layers comprise the lipophilicmicrophase-forming material. Alternatively, the dosage form may be acoated tablet wherein the tablet core comprises the dispersion and thecoating comprises the lipophilic microphase-forming material or whereinthe tablet core comprises the lipophilic microphase-forming material andthe coating comprises the dispersion (which may be formed during thecoating process). In addition, the dispersion and the lipophilicmicrophase-forming material may even be present in different dosageforms such as tablets or beads and may be administered simultaneously orseparately as long as both the dispersion and lipophilicmicrophase-forming material are administered in such a way that thedispersion and lipophilic microphase-forming material are both presentin the use environment. In yet another specific embodiment, thepolymer/drug dispersion may be dissolved or suspended in an aqueousvehicle containing the lipophilic microphase-forming material and theaqueous suspension subsequently dosed to the use environment.

Concentration Enhancement

The compositions of the present invention provideconcentration-enhancement in a use environment relative to one or morecontrol compositions. The compositions of the present invention mayprovide concentration-enhancement relative to a first controlcomposition consisting essentially of the solid amorphous dispersion ofthe drug and polymer but without any lipophilic microphase formingmaterial present.

Thus, the lipophilic microphase forming material is either present inthe composition or co-administered in a sufficient amount to provideconcentration enhancement (as described more fully below) relative to afirst control consisting essentially of an equivalent amount of thesolid amorphous dispersion of drug and concentration-enhancing polymerbut with no lipophilic microphase forming material present. That is, thefirst control composition is identical to the composition comprising thesolid amorphous dispersion and the lipophilic microphase-formingmaterial except for the absence of the lipophilic microphase-formingmaterial.

Alternatively, the compositions of the present invention provideconcentration enhancement relative to a second control compositionconsisting essentially of the same lipophilic microphase-formingmaterial combined with undispersed crystalline drug in an amountequivalent to the amount of drug in the dispersion of the testcomposition, but with no concentration-enhancing polymer present. Thus,the second control composition is identical to the composition of theinvention except that (1) the drug is in the form of undispersedcrystalline drug rather than dispersed in the concentration-enhancingpolymer and (2) there is no concentration-enhancing polymer present. Incases where more than one crystal form of the drug is known, the controlcomposition consists of the crystalline form that is mostthermodynamically stable at ambient conditions (25° C. and 50% relativehumidity). In cases where no crystalline form of the drug is known,undispersed amorphous drug may be substituted for crystalline drug.

At a minimum, compositions of the present invention provideconcentration enhancement in a use environment relative to at least oneof the two above controls. Preferably, compositions of the presentinvention will provide concentration enhancement in a use environmentrelative to both of the above two controls.

Compositions comprising an amorphous dispersion and lipophilicmicrophase-forming material provide concentration-enhancement in eitheran in vivo or in vitro use environment. In an in vivo use environment,the concentration-enhancement may result in either enhanced relativebioavailability and/or a more regular fed/fasted bioavailability ratio(that is, a fed/fasted bioavailability ratio closer to 1). In an invitro use environment, concentration enhancement may be either enhanceddrug concentration in highly mobile drug species, reduced precipitate,enhanced maximum drug concentration, or enhanced dissolution area underthe concentration versus time curve (AUC).

As used herein, a “use environment” can be either the in vivoenvironment of the GI tract, subdermal, intranasal, buccal, intrathecal,ocular, intraaurial, subcutaneous spaces, vaginal tract, arterial andvenous blood vessels, pulmonary tract or intramuscular tissue of ananimal, such as a mammal and particularly a human, or the in vitroenvironment of a test solution, such as phosphate buffered saline (PBS).

Concentration enhancement may be determined through either in vivo testsor through in vitro dissolution tests. A composition of the presentinvention meets the concentration enhancement criteria in at least oneof the above test environments.

In one aspect, the compositions comprising an amorphous dispersion andlipophilic microphase-forming material provide improved relativebioavailability relative to either the first control composition, thesecond control composition, or preferably both. Relative bioavailabilitymay be tested in vivo in animals or humans using conventional methodsfor making such a determination. An in vivo test, such as a crossoverstudy, may be used to determine whether a test composition provides anenhanced relative bioavailability compared with one or both controlcompositions. It is to be understood by those skilled in the art thatsuch in vivo tests are conventionally carried out under fastedconditions. In an in vivo crossover study a “test composition” ofdispersion and lipophilic microphase-forming material is dosed to half agroup of test subjects and, after an appropriate washout period (e.g.,one week) the same subjects are dosed with a control composition. Asdescribed above, the control composition may be either the first controlcomposition which consists of the amorphous dispersion with nolipophilic microphase-forming material present, or the second controlcomposition, which consists of an equivalent amount of the drug inundispersed crystalline form and an equivalent amount of the lipophilicmicrophase-forming material but with no concentration-enhancing polymerpresent. The other half of the group is dosed with the controlcomposition first, followed by the test composition. The relativebioavailability is measured as the concentration in the blood (serum orplasma) versus time area under the curve (AUC) determined for the testgroup divided by the AUC in the blood provided by the controlcomposition. Preferably, this test/control ratio is determined for eachsubject, and then the ratios are averaged over all subjects in thestudy. In vivo determinations of AUC can be made by plotting the serumor plasma concentration of drug along the ordinate (y-axis) against timealong the abscissa (x-axis).

To demonstrate improved bioavailability relative to the first controlcomposition and the second control composition, a “three-way in vivocrossover” study may be conducted where the three compositions are thetest composition, the first control composition and the secondcomposition.

A preferred embodiment is one in which the relative bioavailability ofthe test composition is at least 1.25 relative to either the firstcontrol composition or the second control composition. (That is, the AUCin the blood provided by the test composition is at least 1.25-fold theAUC provided by the control composition.) The relative bioavailabilitymay be at least 2.0, and more preferably at least 3.0, relative toeither control composition. The determination of AUCs is a well-knownprocedure and is described, for example, in Welling, “PharmacokineticsProcesses and Mathematics,” ACS Monograph 185 (1986). An even morepreferred embodiment of the present invention is one for which therelative bioavailability of the test composition is at least 1.25-foldrelative to both the first control composition and the second controlcomposition.

Alternatively, in another separate aspect, the compositions comprisingan amorphous dispersion and lipophilic microphase-forming materialprovide more regular absorption. In this aspect, the compositionsprovide a fed/fasted bioavailability ratio that is near 1.0. By“fed/fasted bioavailability ratio” is meant the AUC in the bloodprovided by a composition dosed to a subject in the fed state, dividedby the AUC in the blood provided by the same composition dosed to asubject in the fasted state. By “subject in the fed state” is meant asubject who has eaten a Food and Drug Administration (FDA)-recommendedstandard high fat breakfast within a period of twenty minutes, and theningested (i.e., swallowed) the test dosage form essentially immediatelythereafter. A standard high-fat breakfast consists of, for example, twoeggs fried in one tablespoon of butter, two strips of bacon, six ouncesof hash brown potatoes, two pieces of toast with two teaspoons of butterand two pats of jelly, and eight ounces of whole milk. This standardhigh-fat breakfast contains approximately 964 calories, 54% supplied asfat (58 gm) and 12% supplied as protein, calculated using the monograph“Nutritive Value of Foods”, U.S. Department of Agriculture Home andGarden Bulletin Number 72.

Additional food can also be consumed within the twenty-minute period andthe subject still qualifies as “fed”. A “subject in the fasted state”for purposes of definition is one who has not eaten for at least eighthours, typically overnight, prior to ingestion of the dosage form.

Thus, a preferred composition of the present invention comprising adispersion and a lipophilic microphase forming material provides afed/fasted bioavailability ratio of from 0.5 to 2.0. Preferably, thecompositions provide a fed/fasted bioavailability ratio of from 0.67 to1.5, and more preferably of from 0.8 to 1.25. Preferably, thecomposition of the present invention provides a fed/fastedbioavailability ratio that is closer to 1 than at least one of the firstcontrol compositions and the second composition, more preferably bothcompositions.

Alternatively, the concentration-enhancement provided by thecompositions of the present invention may be determined in in vitrodissolution tests in an appropriate use environment. It has beendetermined that enhanced drug concentration in in vitro dissolutiontests in PBS solution is a good indicator of in vivo performance andbioavailability. By “PBS solution” is meant an aqueous solutioncomprising 20 mM sodium phosphate (Na₂HPO₄), 47 mM potassium phosphate(KH₂PO₄), 87 mM NaCl, and 0.2 mM KCl, adjusted to pH 6.5 with NaOH. Inparticular, a composition of the present invention may bedissolution-tested by adding it to PBS solution and agitating to promotedissolution. A composition of the invention is one which meets thecriteria set out below when dosed to PBS solution.

In one aspect, the compositions comprising a dispersion and a lipophilicmicrophase forming material, following introduction to an aqueous useenvironment, provide a concentration of “highly mobile” drug that is atleast 2-fold the concentration of highly mobile drug provided by eitherthe first control composition or the second control composition.Preferably, the concentration of highly mobile drug provided by thecomposition is at least 3-fold, more preferably at least 4-fold theconcentration of highly mobile drug provided by either the first controlcomposition or the second control composition. Preferred embodimentsmeet these criteria with both the first control composition and thesecond control composition.

By “highly mobile” is meant drug that is present either as free drug orin a lipophilic microphase. Drug that is highly mobile may be quantifiedusing analytical techniques capable of measuring the concentration ofdrug in solution that is not in the form of polymer/drug assemblies orin precipitate. For example, a nuclear magnetic resonance (NMR)technique may be used, since the NMR measurement only yields awell-resolved signal for species that are sufficiently small or mobilethat they may rapidly rotate. In particular, the NMR signal has beenfound to be proportional to the amount of highly mobile drug; that is,free drug and any drug that may be present in a mobile, solvatednon-aggregated state such as in lipophilic microphases but not drugpresent in large polymer/drug assemblies. Highly mobile drug may also bequantified through permeation analysis in which the rate of drugtransport through a dialysis or other suitable membrane is proportionalto the free drug concentration.

Alternatively, the compositions comprising a dispersion and a lipophilicmicrophase forming material provide concentration enhancement byreducing the mass of precipitate formed in the use environment relativeto the control composition. Reducing the mass of precipitate results inan increase in the amount of drug present in drug forms that are morelabile and mobile, resulting in an increase in relative bioavailability.As used herein, the “precipitate ratio” is defined as the mass of drugpresent in the precipitate obtained when a first control composition(e.g., the solid amorphous dispersion alone) is administered to anaqueous use environment divided by the mass of drug present in theprecipitate obtained when a test composition comprising the solidamorphous dispersion and lipophilic microphase-forming material isadministered to an equivalent amount of the same use environment. Thus,if 30 mg of drug is present in the precipitate formed when a controlcomposition is administered to a test medium and 20 mg of drug ispresent in the precipitate formed when a test composition isadministered to the same test medium, the precipitate ratio is equal to1.5 (30/20). The compositions comprising a dispersion and a lipophilicmicrophase forming material, following introduction to an aqueousenvironment of use, provide a precipitate ratio that is at least 1.25relative to the first control composition previously described.Preferably, the composition of the present invention provides aprecipitate ratio that is at least 2-fold, more preferably at least3-fold relative to the control composition.

The amount of drug present in precipitate may be determined by anyanalytical technique that can quantitatively make such a determination.In one method, the amount of drug present in precipitate is determinedby subtracting the total dissolved drug concentration from thetheoretical concentration of drug if all of the drug added to the testmedium had dissolved. As used herein, the term “total dissolved drug”refers to the total amount of drug dissolved in the aqueous solution,and includes drug present in the form of free drug, micelles, lipophilicmicrophases and polymer/drug assemblies. Specifically, this means thattotal dissolved drug may be determined by separating out any undissolveddrug by centrifugation or filtration and then measuring the amount ofdrug remaining in the supernatant or filtrate. Total dissolved drug istypically taken as that material that either passes a 0.45 μm syringefilter or, alternatively, the material that remains in the supernatantfollowing centrifugation.

Filtration can be conducted using a 13 mm, 0.45 μm polyvinylidinedifluoride syringe filter sold by Scientific Resources under thetrademark TITAN®. Centrifugation is typically carried out in apolypropylene microcentrifuge tube by centrifuging at 13,000 G for 60seconds. Other similar filtration or centrifugation methods can beemployed and useful results obtained. For example, using other types ofmicrofilters may yield values somewhat higher or lower (>10-40%) thanthat obtained with the filter specified above but will still allowidentification of preferred compositions.

Alternatively, drug in precipitate may be determined by collecting thesolids obtained upon centrifugation or filtration of the aqueoussolution, dissolution of the solids in an appropriate solvent, such asmethanol, dimethylsulfoxide, or dimethylacetamide, and then analyzingfor the drug using any quantitative analytical technique such as HPLC orNMR.

In another alternative aspect, the composition comprising a solidamorphous dispersion and a lipophilic microphase forming material mayprovide a Maximum total dissolved Drug Concentration (MDC) that is atleast 1.25-fold the MDC of either the first control composition or thesecond control composition. In other words, if the MDC provided byeither control composition is 100 μg/mL, then a composition comprising adispersion and lipophilic microphase-forming material provides an MDC ofat least 125 μg/mL. More preferably, the MDC of drug achieved with thecompositions of the present invention are at least 2-fold, and even morepreferably at least 3-fold, that of either control composition. Tofacilitate testing, the maximum drug concentration may be taken as themaximum concentration achieved within 90 to 180 minutes followingadministration of the drug. Preferred compositions meet these criteriafor both the first control composition and the second controlcomposition.

Alternatively, the compositions comprising a dispersion and a lipophilicmicrophase-forming material may provide in an aqueous use environment atotal dissolved drug concentration versus time Area Under The Curve(AUC), for any period of at least 90 minutes between the time ofintroduction into the use environment and about 270 minutes followingintroduction to the use environment that is at least 1.25-fold that ofeither the first control composition or the second control composition.More preferably, the AUC achieved with the compositions of the presentinvention are at least 2-fold and more preferably at least 3-fold thatof either control composition. Preferred compositions meet thesecriteria for both the first control composition and the second controlcomposition.

In a particularly preferred embodiment of the present invention, theinventors have found that certain compositions provide a surprisingly“synergistic enhancement” in the various concentration andbioavailability criteria described above.

The “synergistic enhancement” is determined by comparing the performanceof the test composition of solid amorphous dispersion and lipophilicmicrophase-forming material to a “third control composition.” The thirdcontrol composition consists essentially of the undispersed drug alonein its thermodynamically lowest energy state, typically the most stablecrystalline form or its amorphous form if a crystalline form is unknown.Preferred compositions of solid amorphous dispersions of drug andpolymer and lipophilic microphase-forming material exhibit synergisticenhancement by performing better than would be expected by simply addingthe enhancement provided by a dispersion with the enhancement providedby the lipophilic microphase-forming material.

To determine synergy, it is necessary to determine the performance ofthe first control composition, the second control composition, and thethird control composition either in in vivo or in in vitro dissolutiontests. The relative enhancement of the first control composition (e.g.,the solid amorphous dispersion but with no lipophilic microphase-formingmaterial) is determined with respect to the third control composition.For example, if the first control composition provides an AUC₉₀ (thatis, the AUC obtained during the first 90 minutes following introductionof the composition to a use environment) of 20,000 min*μg/ml and thethird control composition provides an AUC₉₀ of 1,000 min*μg/ml, thefirst control composition has a relative enhancement of 20-fold.

Likewise, the relative enhancement of the second control composition(e.g., the undispersed crystalline drug with lipophilicmicrophase-forming material but no concentration-enhancing polymer) isdetermined with respect to the third control composition. For example,if the second control composition provides an AUC₉₀ of 40,000 min*μg/mland the third control composition provides an AUC₉₀ of 1,000 min*μg/ml,the second control composition has a relative enhancement of 40-fold.

Compositions of the present invention provide synergistic enhancementwhen the relative enhancement provided by the test composition comparedwith the third control composition is greater than the sum of therelative enhancement provided by the first control composition and therelative enhancement provided by second control composition. Returningto the examples described above, if the first control compositionprovided a relative enhancement of 20-fold, and the second controlcomposition provided a relative enhancement of 40-fold, the sum of theirrelative enhancements would be 60-fold. Thus, a test compositionprovides synergistic enhancement when it provides a relative enhancementof greater than 60-fold compared with the third control composition.

The synergistic enhancement may also be determined by comparing therelative bioavailability of the test composition, first controlcomposition, and second control composition relative to the thirdcontrol composition. Synergistic enhancement would be shown where therelative bioavailability of the test composition is greater than the sumof the relative bioavailability of the first control composition and therelative bioavailability of the second control composition. For example,if the first control composition provides a relative bioavailability of1.5 with respect to the third control composition, and the secondcontrol composition provides a relative bioavailability of 2.0 withrespect to the third control composition, the test composition showssynergistic enhancement when it has a relative bioavailability relativeto the third control composition greater than 3.5.

In particular, the inventors have noted that synergistic enhancements inconcentration are often obtained by compositions in which the lipophilicmicrophase-forming material is dispersed, along with the drug, in theconcentration-enhancing polymer. Such compositions are highly preferred.

Low-Solubility Drugs

The drug is a “low-solubility drug,” meaning that the drug may be either“substantially water-insoluble,” which means that the drug has a minimumaqueous solubility at physiologically relevant pH (e.g., pH 1-8) of lessthan 0.01 mg/mL, “sparingly water-soluble,” that is, has an aqueoussolubility up to about 1 to 2 mg/mL, or even low to moderateaqueous-solubility, having an aqueous-solubility from about 1 mg/mL toas high as about 20 to 40 mg/mL. In general, it may be said that thedrug has a dose-to-aqueous solubility ratio greater than 10 mL, and moretypically greater than 100 mL, where the drug solubility (mg/mL) is theminimum value observed in any physiologically relevant aqueous solution(e.g., those with pH values between 1 and 8) including USP simulatedgastric and intestinal buffers, and dose is in mg. Thedose-to-aqueous-solubility-ratio may be determined by simply dividingthe dose (in mg) by the aqueous solubility (in mg/mL).

The use of the lipophilic microphase-forming material works particularlywell for very low solubility drugs. Thus, the invention finds particularutility where the drug has a solubility of less than 100 μg/ml, and evengreater utility where the solubility is less than 10 μg/ml.

In addition, the invention finds utility when the drug has a relativelyhigh absorption rate constant. By “absorption rate constant” is meant aconstant that describes the rate at which the drug is moved from thesite of administration (e.g., the GI tract of an animal) to theextra-cellular compartment of the body. Absorption rate constants aregenerally described by zero-order or first-order models. See forexample, Remington's The Science and Practice of Pharmacy, 20^(th) Ed(2000). The invention finds particular utility when the drug has anabsorption rate constant of at least 0.005 min⁻¹, more utility when thedrug has an absorption rate constant of at least 0.01 min⁻¹, and evenmore utility when the drug has an absorption rate constant of at least0.03 min⁻¹ or higher.

Preferred classes of drugs include, but are not limited to,antihypertensives, antianxiety agents, anticlotting agents,anticonvulsants, blood glucose-lowering agents, decongestants,antihistamines, antitussives, antineoplastics, beta blockers,anti-inflammatories, antipsychotic agents, cognitive enhancers,anti-atherosclerotic agents, cholesterol-reducing agents, antiobesityagents, autoimmune disorder agents, anti-impotence agents, antibacterialand antifungal agents, hypnotic agents, anti-Parkinsonism agents,anti-Alzheimer's disease agents, antibiotics, anti-depressants, andantiviral agents, glycogen phosphorylase inhibitors, and cholesterolester transfer protein inhibitors.

Each named drug should be understood to include the neutral form of thedrug, pharmaceutically acceptable salts, as well as prodrugs. Specificexamples of antihypertensives include prazosin, nifedipine, amlodipinebesylate, trimazosin and doxazosin; specific examples of a bloodglucose-lowering agent are glipizide and chlorpropamide; a specificexample of an anti-impotence agent is sildenafil and sildenafil citrate;specific examples of antineoplastics include chlorambucil, lomustine andechinomycin; a specific example of an imidazole-type antineoplastic istubulazole; a specific example of an anti-hypercholesterolemic isatorvastatin calcium; specific examples of anxiolytics includehydroxyzine hydrochloride and doxepin hydrochloride; specific examplesof anti-inflammatory agents include betamethasone, prednisolone,aspirin, piroxicam, valdecoxib, carprofen, celecoxib, flurbiprofen and(+)—N-{4-[3-(4-fluorophenoxy)phenoxy]-2-cyclopenten-1-yl}-N-hyroxyurea;a specific example of a barbiturate is phenobarbital; specific examplesof antivirals include acyclovir, nelfinavir, and virazole; specificexamples of vitamins/nutritional agents include retinol and vitamin E;specific examples of beta blockers include timolol and nadolol; aspecific example of an emetic is apomorphine; specific examples of adiuretic include chlorthalidone and spironolactone; a specific exampleof an anticoagulant is dicumarol; specific examples of cardiotonicsinclude digoxin and digitoxin; specific examples of androgens include17-methyltestosterone and testosterone; a specific example of a mineralcorticoid is desoxycorticosterone; a specific example of a steroidalhypnotic/anesthetic is alfaxalone; specific examples of anabolic agentsinclude fluoxymesterone and methanstenolone; specific examples ofantidepression agents include sulpiride,[3,6-dimethyl-2-(2,4,6-trimethyl-phenoxy)-pyridin-4-yl]-(1-ethylpropyl)-amine,3,5-dimethyl-4-(3′-pentoxy)-2-(2′,4′,6′-trimethylphenoxy)pyridine,pyroxidine, fluoxetine, paroxetine, venlafaxine and sertraline; specificexamples of antibiotics include carbenicillin indanylsodium,bacampicillin hydrochloride, troleandomycin, doxycyline hyclate,ampicillin and penicillin G; specific examples of anti-infectivesinclude benzalkonium chloride and chlorhexidine; specific examples ofcoronary vasodilators include nitroglycerin and mioflazine; a specificexample of a hypnotic is etomidate; specific examples of carbonicanhydrase inhibitors include acetazolamide and chlorzolamide; specificexamples of antifungals include econazole, terconazole, fluconazole,voriconazole, and griseofulvin; a specific example of an antiprotozoalis metronidazole; specific examples of anthelmintic agents includethiabendazole and oxfendazole and morantel; specific examples ofantihistamines include astemizole, levocabastine, cetirizine,decarboethoxyloratadine and cinnarizine; specific examples ofantipsychotics include ziprasidone, olanzepine, thiothixenehydrochloride, fluspirilene, risperidone and penfluridole; specificexamples of gastrointestinal agents include loperamide and cisapride;specific examples of serotonin antagonists include ketanserin andmianserin; a specific example of an anesthetic is lidocaine; a specificexample of a hypoglycemic agent is acetohexamide; a specific example ofan anti-emetic is dimenhydrinate; a specific example of an antibacterialis cotrimoxazole; a specific example of a dopaminergic agent is L-DOPA;specific examples of anti-Alzheimer's Disease agents are THA anddonepezil; a specific example of an anti-ulcer agent/H2 antagonist isfamotidine; specific examples of sedative/hypnotic agents includechlordiazepoxide and triazolam; a specific example of a vasodilator isalprostadil; a specific example of a platelet inhibitor is prostacyclin;specific examples of ACE inhibitor/antihypertensive agents includeenalaprilic acid, quinapril, and lisinopril; specific examples oftetracycline antibiotics include oxytetracycline and minocycline;specific examples of macrolide antibiotics include erythromycin,clarithromycin, and spiramycin; a specific example of an azalideantibiotic is azithromycin; specific examples of glycogen phosphorylaseinhibitors include[R—(R*S*)]-5-chloro-N-[2-hydroxy-3-{methoxymethylamino}-3-oxo-1-(phenylmethyl)propyl-1H-indole-2-carboxamideand 5-chloro-1H-indole-2-carboxylic acid[(1S)-benzyl-(2R)-hydroxy-3-((3R,4S)-dihydroxy-pyrrolidin-1-yl-)-3-oxypropyl]amide;and specific examples of cholesterol ester transfer protein inhibitorsinclude[2R,4S]-4-[acetyl-(3,5-bis-trifluoromethyl-benzyl)-amino]-2-ethyl-6-trifluoromethyl-3,4-dihydro-2H-quinoline-1-carboxylicacid isopropyl ester,[2R,4S]-4-[3,5-bis-trifluoromethyl-benzyl)-methoxycarbonyl-amino]-2-ethyl-6-trifluoromethyl-3,4-dihydro-2H-quinoline-1-carboxylicacid ethyl ester, and[2R,4S]4-[(3,5-bis-trifluoromethyl-benzyl)-methoxycarbonyl-amino]-2-ethyl-6-trifluoromethyl-3,4-dihydro-2H-quinoline-1-carboxylicacid isopropyl ester.

Concentration Enhancing Polymers

The composition also includes a concentration-enhancing polymer. By“concentration-enhancing” is meant a polymer present in a sufficientamount so that the dispersion provides, at a minimum, either improvedAUC, maximum drug concentration, or relative bioavailability relative toa control consisting of an equivalent amount of crystalline drug butwith no concentration-enhancing polymer. (Concentration enhancement maybe evaluated as described above, except that the dispersion would be thetest composition and crystalline drug without any polymer present wouldbe the control composition). Concentration-enhancing polymers should bepharmaceutically acceptable, and should have at least some solubility inaqueous solution at physiologically relevant pHs (e.g., 1-8). Almost anyneutral or ionizable polymer that has an aqueous-solubility of at least0.1 mg/mL over at least a portion of the pH range of 18 may be suitable.

It is preferred that the concentration-enhancing polymer be“amphiphilic” in nature, meaning that the polymer has hydrophobic andhydrophilic portions.

Amphiphilic polymers are preferred because it is believed that suchpolymers tend to have relatively strong interactions with the drug andmay promote the formation of various types of polymer/drug assemblies insolution.

A particularly preferred class of amphiphilic polymers are those thatare ionizable, the ionizable portions of such polymers, when ionized,constituting at least a portion of the hydrophilic portions of thepolymer. For example, while not wishing to be bound by a particulartheory, such polymer/drug assemblies may comprise hydrophobic drugclusters surrounded by the concentration-enhancing polymer with thepolymer's hydrophobic regions turned inward towards the drug and thehydrophilic regions of the polymer turned outward toward the aqueousenvironment. Alternatively, depending on the specific chemical nature ofthe drug, the ionized functional groups of the polymer may associate,for example, via ion pairing or hydrogen bonds, with ionic or polargroups of the drug. In the case of ionizable polymers, the hydrophilicregions of the polymer would include the ionized functional groups. Inaddition, the repulsion of the like charges of the ionized groups ofsuch polymers (where the polymer is ionizable) may serve to limit thesize of the polymer/drug assemblies to the nanometer or submicron scale.Such drug/concentration-enhancing polymer assemblies in solution maywell resemble charged polymeric micellar-like structures. In any case,regardless of the mechanism of action, the inventors have observed thatsuch amphiphilic polymers, particularly ionizable cellulosic polymerssuch as those listed below, have been shown to interact with drug so asto maintain a higher concentration of drug in an aqueous useenvironment.

One class of polymers suitable for use with the present inventioncomprises non-ionizable (neutral) non-cellulosic polymers. Exemplarypolymers include: vinyl polymers and copolymers having at least onesubstituent selected from the group consisting of hydroxyl,alkylacyloxy, and cyclicamido; polyvinyl alcohols that have at least aportion of their repeat units in the unhydrolyzed (vinyl acetate) form;polyvinyl alcohol polyvinyl acetate copolymers; polyvinyl pyrrolidone;polyoxyethylene-polyoxypropylene copolymers, also known as poloxamers;and polyethylene polyvinyl alcohol copolymers.

A preferred class of neutral non-cellulosic polymers comprises vinylcopolymers of at least one hydrophilic, hydroxyl-containing repeat unitand at least one hydrophobic, alkyl- or aryl-containing repeat unit.Such neutral vinyl copolymers are termed “amphiphilichydroxyl-functional vinyl copolymers.” Amphiphilic hydroxyl-functionalvinyl copolymers are believed to provide high concentration enhancementsdue to the amphiphilicity of these copolymers which provide bothsufficient hydrophobic groups to interact with the hydrophobic,low-solubility drugs and also sufficient hydrophilic groups to havesufficient aqueous solubility for good dissolution. The copolymericstructure of the amphiphilic hydroxyl-functional vinyl copolymers alsoallows their hydrophilicity and hydrophobicity to be adjusted tomaximize performance with a specific low-solubility drug.

The preferred copolymers have the general structure:

where A and B represent “hydrophilic, hydroxyl-containing” and“hydrophobic” substituents, respectively, and n and m represent theaverage number of hydrophilic vinyl repeat units and average number ofhydrophobic vinyl repeat units respectively per polymer molecule.Copolymers may be block copolymers, random copolymers or they may havestructures anywhere between these two extremes. The sum of n and m isgenerally from about 50 to about 20,000 and therefore the polymers havemolecular weights from about 2,500 to about 1,000,000 daltons.

The hydrophilic, hydroxyl-containing repeat units, “A,” may simply behydroxyl (—OH) or it may be any short-chain, 1 to 6 carbon, alkyl withone or more hydroxyls attached thereto. The hydroxyl-substituted alkylmay be attached to the vinyl backbone via carbon-carbon or etherlinkages. Thus exemplary “A” structures include, in addition to hydroxylitself, hydroxymethyl, hydroxyethyl, hydroxypropyl, hydroxymethoxy,hydroxyethoxy and hydroxypropoxy.

The hydrophobic substituent, “B,” may simply be: hydrogen (—H), in whichcase the hydrophobic repeat unit is ethylene; an alkyl or arylsubstituent with up to 12 carbons attached via a carbon-carbon bond suchas methyl, ethyl or phenyl; an alkyl or aryl substituent with up to 12carbons attached via an ether linkage such as methoxy, ethoxy orphenoxy; an alkyl or aryl substituent with up to 12 carbons attached viaan ester linkage such as acetate, propionate, butyrate or benzoate. Theamphiphilic hydroxyl-functional vinyl copolymers of the presentinvention may be synthesized by any conventional method used to preparesubstituted vinyl copolymers. Some substituted vinyl copolymers such aspolyvinyl alcohol/polyvinyl acetate are well known and commerciallyavailable.

A particularly convenient subclass of amphiphilic hydroxyl-functionalvinyl copolymers to synthesize are those where the hydrophobicsubstituent “B” comprises the hydrophilic substituent “A” to which analkylate or arylate group is attached via an ester linkage to one ormore of the hydroxyls of A. Such copolymers may be synthesized by firstforming the homopolymer of the hydrophobic vinyl repeat unit having thesubstituent B, followed by hydrolysis of a portion of the ester groupsto convert a portion of the hydrophobic repeat units to hydrophilic,hydroxyl-containing repeat units having the substituent A. For example,partial hydrolysis of the homopolymer, polyvinylbutyrate, yields thecopolymer, vinylalcohol/vinylbutyrate copolymer for which A is hydroxyl(—OH) and B is butyrate (—OOC—CH₂—CH₂—CH₃).

For all types of copolymers, the value of n must be sufficiently largerelative to the value of m that the resulting copolymer is at leastpartially water soluble. Although the value of the ratio, n/m variesdepending on the identity of A and B, it is generally at least about 1and more commonly about 2 or more. The ratio n/m can be as high as 200.When the copolymer is formed by hydrolysis of the hydrophobichomopolymer, the relative values of n and m are typically reported in“percent hydrolysis,” which is the fraction (expressed as a percent) ofthe total repeat units of the copolymer that are in the hydrolyzed orhydroxyl form. The percent hydrolysis, H, is given as$H = {100 \times \left( \frac{n}{n + m} \right)}$Thus, vinylbutyrate/vinylalcohol copolymer (formed by hydrolysis of aportion of the butyrate groups) having a percent hydrolysis of 75% hasan n/m ratio of 3. A particularly preferred family of amphiphilichydroxyl-functional vinyl copolymers are those where A is hydroxyl and Bis acetate. Such copolymers are termed vinylacetate/vinylalcoholcopolymers. Some commercial grades are also sometimes referred to simplyas polyvinylalcohol. However, the true homopolymer, polyvinylalcohol isnot amphiphilic and is almost entirely water insoluble. Preferredvinylacetate/vinylalcohol copolymers are those where H is between about67% and 99.5%, or n/m has a value between about 2 and 200. The preferredaverage molecular weight is between about 2500 and 1,000,000 daltons andmore preferably between about 3000 and about 100,000 daltons.

Another class of polymers suitable for use with the present inventioncomprises ionizable non-cellulosic polymers. Exemplary polymers include:carboxylic acid-functionalized vinyl polymers, such as the carboxylicacid functionalized polymethacrylates and carboxylic acid functionalizedpolyacrylates such as the EUDRAGITS manufactured by Rohm Tech Inc., ofMalden, Mass.; amine-functionalized polyacrylates and polymethacrylates;proteins such as gelatin and albumin; and carboxylic acid functionalizedstarches such as starch glycolate. Non-cellulosic polymers that areamphiphilic are copolymers of a relatively hydrophilic and a relativelyhydrophobic monomer. Examples include acrylate and methacrylatecopolymers. Exemplary commercial grades of such copolymers include theEUDRAGITS, which are copolymers of methacrylates and acrylates.

A preferred class of polymers comprises ionizable and neutral (ornon-ionizable) cellulosic polymers with at least one ester- and/orether-linked substituent in which the polymer has a degree ofsubstitution of at least 0.05 for each substituent. It should be notedthat in the polymer nomenclature used herein, ether-linked substituentsare recited prior to “cellulose” as the moiety attached to the ethergroup; for example, “ethylbenzoic acid cellulose” has ethoxybenzoic acidsubstituents. Analogously, ester-linked substituents are recited after“cellulose” as the carboxylate; for example, “cellulose phthalate” hasone carboxylic acid of each phthalate moiety ester-linked to the polymerand the other carboxylic acid unreacted.

It should also be noted that a polymer name such as “cellulose acetatephthalate” (CAP) refers to any of the family of cellulosic polymers thathave acetate and phthalate groups attached via ester linkages to asignificant fraction of the cellulosic polymers hydroxyl groups.Generally, the degree of substitution of each substituent group canrange from 0.05 to 2.9 as long as the other criteria of the polymer aremet. “Degree of substitution” refers to the average number of the threehydroxyls per saccharide repeat unit on the cellulose chain that havebeen substituted. For example, if all of the hydroxyls on the cellulosechain have been phthalate substituted, the phthalate degree ofsubstitution is 3. Also included within each polymer family type arecellulosic polymers that have additional substituents added inrelatively small amounts that do not substantially alter the performanceof the polymer.

Amphiphilic cellulosics comprise polymers in which the parent cellulosicpolymer has been substituted at any or all of the 3 hydroxyl groupspresent on each saccharide repeat unit with at least one relativelyhydrophobic substituent. Hydrophobic substituents may be essentially anysubstituent that, if substituted to a high enough level or degree ofsubstitution, can render the cellulosic polymer essentially aqueousinsoluble. Examples of hydrophobic substituents include ether-linkedalkyl groups such as methyl, ethyl, propyl, butyl, etc.; or ester-linkedalkyl groups such as acetate, propionate, butyrate, etc.; and ether-and/or ester-linked aryl groups such as phenyl, benzoate, or phenylate.Hydrophilic regions of the polymer can be either those portions that arerelatively unsubstituted, since the unsubstituted hydroxyls arethemselves relatively hydrophilic, or those regions that are substitutedwith hydrophilic substituents.

Hydrophilic substituents include ether- or ester-linked nonionizablegroups such as the hydroxy alkyl substituents hydroxyethyl,hydroxypropyl, and the alkyl ether groups such as ethoxyethoxy ormethoxyethoxy. Particularly preferred hydrophilic substituents are thosethat are ether- or ester-linked ionizable groups such as carboxylicacids, thiocarboxylic acids, substituted phenoxy groups, amines,phosphates or sulfonates.

One class of cellulosic polymers comprises neutral polymers, meaningthat the polymers are substantially non-ionizable in aqueous solution.Such polymers contain non-ionizable substituents, which may be eitherether-linked or ester-linked. Exemplary ether-linked non-ionizablesubstituents include: alkyl groups, such as methyl, ethyl, propyl,butyl, etc.; hydroxy alkyl groups such as hydroxymethyl, hydroxyethyl,hydroxypropyl, etc.; and aryl groups such as phenyl. Exemplaryester-linked non-ionizable substituents include: alkyl groups, such asacetate, propionate, butyrate, etc.; and aryl groups such as phenylate.However, when aryl groups are included, the polymer may need to includea sufficient amount of a hydrophilic substituent so that the polymer hasat least some water solubility at any physiologically relevant pH offrom 1 to 8.

Exemplary non-ionizable (neutral) cellulosic polymers that may be usedas the polymer include: hydroxypropyl methyl cellulose acetate,hydroxypropyl methyl cellulose, hydroxypropyl cellulose, methylcellulose, hydroxyethyl methyl cellulose, hydroxyethyl celluloseacetate, and hydroxyethyl ethyl cellulose.

A preferred set of neutral cellulosic polymers are those that areamphiphilic. Exemplary polymers include hydroxypropyl methyl celluloseand hydroxypropyl cellulose acetate, where cellulosic repeat units thathave relatively high numbers of methyl or acetate substituents relativeto the unsubstituted hydroxyl or hydroxypropyl substituents constitutehydrophobic regions relative to other repeat units on the polymer.

A preferred class of cellulosic polymers comprises polymers that are atleast partially ionizable at physiologically relevant pH and include atleast one ionizable substituent, which may be either ether-linked orester-linked. Exemplary ether-linked ionizable substituents include:carboxylic acids, such as acetic acid, propionic acid, benzoic acid,salicylic acid, alkoxybenzoic acids such as ethoxybenzoic acid orpropoxybenzoic acid, the various isomers of alkoxyphthalic acid such asethoxyphthalic acid and ethoxyisophthalic acid, the various isomers ofalkoxynicotinic acid such as ethoxynicotinic acid, and the variousisomers of picolinic acid such as ethoxypicolinic acid, etc.;thiocarboxylic acids, such as thioacetic acid; substituted phenoxygroups, such as hydroxyphenoxy, etc.; amines, such as aminoethoxy,diethylaminoethoxy, trimethylaminoethoxy, etc.; phosphates, such asphosphate ethoxy; and sulfonates, such as sulphonate ethoxy. Exemplaryester linked ionizable substituents include: carboxylic acids, such assuccinate, citrate, phthalate, terephtha late, isophthalate,trimellitate, and the various isomers of pyridinedicarboxylic acid,etc.; thiocarboxylic acids, such as thiosuccinate; substituted phenoxygroups, such as amino salicylic acid; amines, such as natural orsynthetic amino acids, such as alanine or phenylalanine; phosphates,such as acetyl phosphate; and sulfonates, such as acetyl sulfonate. Foraromatic-substituted polymers to also have the requisite aqueoussolubility, it is also desirable that sufficient hydrophilic groups suchas hydroxypropyl or carboxylic acid functional groups be attached to thepolymer to render the polymer aqueous soluble at least at pH valueswhere any ionizable groups are ionized. In some cases, the aromaticsubstituent may itself be ionizable, such as phthalate or trimellitatesubstituents.

Exemplary cellulosic polymers that are at least partially ionized atphysiologically relevant pHs include: hydroxypropyl methyl celluloseacetate succinate, hydroxypropyl methyl cellulose succinate,hydroxypropyl cellulose acetate succinate, hydroxyethyl methyl cellulosesuccinate, hydroxyethyl cellulose acetate succinate, hydroxypropylmethyl cellulose phthalate, hydroxyethyl methyl cellulose acetatesuccinate, hydroxyethyl methyl cellulose acetate phthalate, carboxyethylcellulose, carboxymethyl cellulose, carboxymethyl ethyl cellulose,cellulose acetate phthalate, methyl cellulose acetate phthalate, ethylcellulose acetate phthalate, hydroxypropyl cellulose acetate phthalate,hydroxypropyl methyl cellulose acetate phthalate, hydroxypropylcellulose acetate phthalate succinate, hydroxypropyl methyl celluloseacetate succinate phthalate, hydroxypropyl methyl cellulose succinatephthalate, cellulose propionate phthalate, hydroxypropyl cellulosebutyrate phthalate, cellulose acetate trimellitate, methyl celluloseacetate trimellitate, ethyl cellulose acetate trimellitate,hydroxypropyl cellulose acetate trimellitate, hydroxypropyl methylcellulose acetate trimellitate, hydroxypropyl cellulose acetatetrimellitate succinate, cellulose propionate trimellitate, cellulosebutyrate trimellitate, cellulose acetate terephthalate, celluloseacetate isophthalate, cellulose acetate pyridinedicarboxylate, salicylicacid cellulose acetate, hydroxypropyl salicylic acid cellulose acetate,ethylbenzoic acid cellulose acetate, hydroxypropyl ethylbenzoic acidcellulose acetate, ethyl phthalic acid cellulose acetate, ethylnicotinic acid cellulose acetate, and ethyl picolinic acid celluloseacetate.

Exemplary cellulosic polymers that meet the definition of amphiphilic,having hydrophilic and hydrophobic regions include polymers such ascellulose acetate phthalate and cellulose acetate trimellitate where thecellulosic repeat units that have one or more acetate substituents arehydrophobic relative to those that have no acetate substituents or haveone or more ionized phthalate or trimellitate substituents.

A particularly desirable subset of cellulosic ionizable polymers arethose that possess both a carboxylic acid functional aromaticsubstituent and an alkylate substituent and thus are amphiphilic.Exemplary polymers include cellulose acetate phthalate, methyl celluloseacetate phthalate, ethyl cellulose acetate phthalate, hydroxypropylcellulose acetate phthalate, hydroxylpropyl methyl cellulose phthalate,hydroxypropyl methyl cellulose acetate phthalate, hydroxypropylcellulose acetate phthalate succinate, cellulose propionate phthalate,hydroxypropyl cellulose butyrate phthalate, cellulose acetatetrimellitate, methyl cellulose acetate trimellitate, ethyl celluloseacetate trimellitate, hydroxypropyl cellulose acetate trimellitate,hydroxypropyl methyl cellulose acetate trimellitate, hydroxypropylcellulose acetate trimellitate succinate, cellulose propionatetrimellitate, cellulose butyrate trimellitate, cellulose acetateterephthalate, cellulose acetate isophthalate, cellulose acetatepyridinedicarboxylate, salicylic acid cellulose acetate, hydroxypropylsalicylic acid cellulose acetate, ethylbenzoic acid cellulose acetate,hydroxypropyl ethylbenzoic acid cellulose acetate, ethyl phthalic acidcellulose acetate, ethyl nicotinic acid cellulose acetate, and ethylpicolinic acid cellulose acetate.

Another particularly desirable subset of cellulosic ionizable polymersare those that possess a non-aromatic carboxylate substituent. Exemplarypolymers include hydroxypropyl methyl cellulose acetate succinate,hydroxypropyl methyl cellulose succinate, hydroxypropyl celluloseacetate succinate, hydroxyethyl methyl cellulose acetate succinate,hydroxyethyl methyl cellulose succinate, hydroxyethyl cellulose acetatesuccinate and carboxymethyl ethyl cellulose. Of these cellulosicpolymers that are at least partially ionized at physiologically relevantpHs, the inventors have found the following to be most preferred:hydroxypropyl methyl cellulose acetate succinate, hydroxypropyl methylcellulose phthalate, cellulose acetate phthalate, cellulose acetatetrimellitate and carboxymethyl ethyl cellulose. The most preferred ishydroxypropyl methyl cellulose acetate succinate.

Another preferred class of polymers consists of neutralized acidicpolymers. By “neutralized acidic polymer” is meant any acidic polymerfor which a significant fraction of the “acidic moieties” or “acidicsubstituents” have been “neutralized”; that is, exist in theirdeprotonated form. By “neutralized acidic cellulosic polymers” is meantany cellulosic “acidic polymer” for which a significant fraction of the“acidic moieties” or “acidic substituents” have been “neutralized.” By“acidic polymer” is meant any polymer that possesses a significantnumber of acidic moieties. In general, a significant number of acidicmoieties would be greater than or equal to about 0.1 milliequivalents ofacidic moieties per gram of polymer. “Acidic moieties” include anyfunctional groups that are sufficiently acidic that, in contact with ordissolved in water, can at least partially donate a hydrogen cation towater and thus increase the hydrogen-ion concentration. This definitionincludes any functional group or “substituent,” as it is termed when thefunctional group is covalently attached to a polymer, that has a pK_(a)of less than about 10. Exemplary classes of functional groups that areincluded in the above description include carboxylic acids,thiocarboxylic acids, phosphates, phenolic groups, and sulfonates. Suchfunctional groups may make up the primary structure of the polymer suchas for polyacrylic acid, but more generally are covalently attached tothe backbone of the parent polymer and thus are termed “substituents.”Neutralized acidic polymers are described in more detail in commonlyassigned copending provisional patent application U.S. Ser. No.60/300,256 entitled “Pharmaceutical Compositions of Drugs andNeutralized Acidic Polymers” filed Jun. 22, 2001, the relevantdisclosure of which is incorporated by reference.

The glass transition temperature of the dispersion is dependent on theglass transition temperatures of the materials comprising thedispersion. Since one of the primary materials used to form thedispersion is the concentration-enhancing polymer, and since the glasstransition temperature of the drug is often relatively low, theconcentration-enhancing polymer may be chosen so as to have a relativelyhigh glass transition temperature. Thus, the polymer may have, whenequilibrated with humid air having a relative humidity of about 50%, aglass transition temperature of at least 40° C., at least 70° C., oreven greater than 100° C.

While specific polymers have been discussed as being suitable for use inthe mixtures of the present invention, blends of such polymers may alsobe suitable. Thus, the term “concentration-enhancing polymer” isintended to include blends of polymers in addition to a single speciesof polymer.

Excipients and Dosage Forms

Although the key ingredient present in the compositions is simply themixture of (1) the dispersion of drug and the concentration-enhancingpolymer, and (2) the lipophilic microphase-forming material, theinclusion of other excipients in the composition may be useful. Theseexcipients may be utilized in order to formulate the composition intotablets, capsules, suppositories, suspensions, powders for suspension,creams, transdermal patches, depots, and the like. The mixture may beadded to other dosage form ingredients in essentially any manner thatdoes not substantially alter the drug. The excipients may be eitherseparate from the mixture and/or included within the mixture.

The addition of pH modifiers such as acids, bases, or buffers may bebeneficial, retarding the dissolution of the composition (e.g., acidssuch as citric acid or succinic acid when the concentration-enhancingpolymer is anionic) or, alternatively, enhancing the rate of dissolutionof the composition (e.g., bases such as sodium acetate or amines whenthe polymer is anionic).

Conventional matrix materials, complexing agents, solubilizers, fillers,disintegrating agents (disintegrants), or binders may also be added aspart of the composition itself or added by granulation via wet ormechanical or other means. These materials may comprise up to 90 wt % ofthe composition.

Examples of matrix materials, fillers, or diluents include lactose,mannitol, xylitol, microcrystalline cellulose, dibasic calcium phosphate(dihydrate and anhydrous), and starch.

Examples of disintegrants include sodium starch glycolate, sodiumalginate, carboxy methyl cellulose sodium, methyl cellulose, andcroscarmellose sodium, and crosslinked forms of polyvinyl pyrrolidonesuch as those sold under the trade name CROSPOVIDONE (available fromBASF Corporation).

Examples of binders include methyl cellulose, microcrystallinecellulose, starch, and gums such as guar gum, and tragacanth.

Examples of lubricants include magnesium stearate, calcium stearate, andstearic acid.

Examples of preservatives include sulfites (an antioxidant),benzalkonium chloride, methyl paraben, propyl paraben, benzyl alcoholand sodium benzoate.

Examples of suspending agents or thickeners include xanthan gum, starch,guar gum, sodium alginate, carboxymethyl cellulose, sodium carboxymethylcellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyacrylicacid, silica gel, aluminum silicate, magnesium silicate, and titaniumdioxide.

Examples of anticaking agents or fillers include silicon oxide andlactose.

Examples of solubilizers include ethanol, propylene glycol orpolyethylene glycol.

Other conventional excipients may be employed in the compositions ofthis invention, including those excipients well-known in the art.Generally, excipients such as pigments, lubricants, flavorants, and soforth may be used for customary purposes and in typical amounts withoutadversely affecting the properties of the compositions. These excipientsmay be utilized in order to formulate the composition into tablets,capsules, suspensions, powders for suspension, creams, transdermalpatches, and the like.

In particular, solid dosage forms such as immediate release tablets,controlled release tablets, delayed release tablets, chewable tabletsand analogous capsules containing solid material are a preferredembodiment of this invention.

Preferred dosage forms of this type generally comprise from 10 wt %lipophilic microphase-forming material up to 80 wt % lipophilicmicrophase-forming material as well as the solid amorphous dispersion ofdrug and concentration-enhancing polymer, together with other optionalexcipients.

It is conventionally thought that because lipophilic microphase-formingmaterial are typically either low melting point or low T_(g) solids, oreven liquids at room temperature, that they are not consideredappropriate additives for such solid dosage forms except at low levels,typically less than about 5 wt % or less to promote wetting anddissolution of the tablet. However, the inventors have found that,contrary to such conventional wisdom, solid dosage forms with excellentproperties can be made that have relatively high levels of lipophilicmicrophase-forming material. In order for such high lipophilicmicrophase-forming material levels to be utilized in such solid dosageforms, the inventors have found it desirable to adsorb at least aportion of the lipophilic microphase-forming material on a solidsubstrate or disperse the lipophilic microphase-forming material in awater soluble or water dispersible matrix. As mentioned earlier,appropriate adsorption substrates include materials such as siliconoxide, dibasic calcium phosphate, microcrystalline cellulose, andcalcium silicate. Appropriate water soluble or water dispersibledispersion matrix materials include sugars such as sucrose and xylitol,organic acids such as citric acid or lactic acid, water soluble polymerssuch as polydextrose, polyethylene oxide, or dextrin. Particularlypreferred dispersion matrix materials are the concentration-enhancingpolymers previously described. In a particularly preferred embodiment,the lipophilic microphase-forming material is dispersed along with drugin the concentration-enhancing polymer. An added advantage of thisembodiment, particularly when the lipophilic microphase-forming materialis liquid at temperatures below about 50° C., is that relatively highlevels of lipophilic microphase-forming material, up to about 50 wt % orin some cases even more, can often be added to the drug/polymer solidamorphous dispersion while still having the resulting material be asolid powder or granule at ambient conditions.

The compositions of the present invention may be delivered by a widevariety of routes, including, but not limited to, oral, nasal, rectal,vaginal, subcutaneous, intravenous, and pulmonary. Generally, the oralroute is preferred.

Compositions of this invention may also be used in a wide variety ofdosage forms for administration of drugs. Exemplary dosage forms arepowders or granules that may be taken orally either dry or reconstitutedby addition of water or other liquids to form a paste, slurry,suspension or solution; tablets; capsules; multiparticulates; and pills.Various additives may be mixed, ground, or granulated with thecompositions of this invention to form a material suitable for the abovedosage forms. In one preferred embodiment, the solid amorphousdispersion of drug and concentration-enhancing polymer is formulated asa dry powder and then, prior to administration, is dispersed in avehicle that contains the lipophilic microphase-forming material.

The compositions of the present invention may be formulated in variousforms such that they are delivered as a suspension of particles in aliquid vehicle. Such suspensions may be formulated as a liquid or pasteat the time of manufacture, or they may be formulated as a dry powderwith a liquid, typically water, added at a later time but prior to oraladministration. Such powders that are constituted into a suspension areoften termed sachets or oral powder for constitution (OPC) formulations.Such dosage forms can be formulated and reconstituted via any knownprocedure. The simplest approach is to formulate the dosage form as adry powder that is reconstituted by simply adding water and agitating.Alternatively, the dosage form may be formulated as a liquid and a drypowder that are combined and agitated to form the oral suspension. Inyet another embodiment, the dosage form can be formulated as two powderswhich are reconstituted by first adding water to one powder to form asolution to which the second powder is combined with agitation to formthe suspension.

Generally, it is preferred that the dispersion of drug be formulated forlong-term storage in the dry state as this promotes the chemical andphysical stability of the drug.

Yet another method to deliver the dispersion and lipophilicmicrophase-forming material is to co-administer the dispersion andlipophilic microphase-forming material to an in vivo use environment.The solid amorphous dispersion and lipophilic microphase-formingmaterial may each be added separately to the in vivo use environment.Thus, when dosed orally, the dispersion may be taken orally prior to thelipophilic microphase-forming material, at the same time, or after thelipophilic microphase-forming material has been taken orally. Ingeneral, if administered separately to an in vivo use environment, thesolid amorphous dispersion and the lipophilic microphase-formingmaterial should be administered within 15 minutes of each other.

Since the present invention has an aspect that relates to the treatmentof a condition or disorder by treatment with a combination of apolymer/drug solid amorphous dispersion and a lipophilicmicrophase-forming material which may be co-administered separately, theinvention also relates to combining separate pharmaceutical compositionsin kit form. The kit comprises two separate pharmaceutical compositions:(1) a composition comprising a solid amorphous dispersion of drug andconcentration-enhancing polymer; and (2) a composition comprising alipophilic microphase-forming material. The amounts of (1) and (2) aresuch that, when co-administered separately, the condition or disorder istreated and/or remediated. The kit comprises a container for containingthe separate compositions such as a divided bottle or a divided foilpacket, wherein each compartment contains a plurality of dosage forms(e.g., tablets) comprising (1) or (2). Alternatively, rather thanseparating the active ingredient-containing dosage forms, the kit maycontain separate compartments each of which contains a whole dosagewhich in turn comprises separate dosage forms. An example of this typeof kit is a blister pack wherein each individual blister contains two(or more) tablets, one (or more) tablet(s) comprising pharmaceuticalcomposition (1), and the second (or more) tablet(s) comprisingpharmaceutical composition (2). Typically the kit comprises directionsfor the administration of the separate components. The kit form isparticularly advantageous when the separate components are preferablyadministered in different dosage forms (e.g., oral and parenteral), areadministered at different dosage intervals, or when titration of theindividual components of the combination is desired by the prescribingphysician. In the case of the instant invention a kit thereforecomprises

-   -   (1) a therapeutically effective amount of a composition        comprising a solid amorphous dispersion of a low-solubility drug        and a concentration-enhancing polymer, in a first dosage form;    -   (2) a therapeutically effective amount of a composition        comprising a lipophilic microphase-forming material, in a second        dosage form; and    -   (3) a container for containing said first and second dosage        forms.

An example of such a kit, alluded to above, is a so-called blister pack.Blister packs are well known in the packaging industry and are widelyused for the packaging of pharmaceutical unit dosage forms such astablets, capsules, and the like. Blister packs generally consist of asheet of relatively stiff material covered with a foil of a preferablytransparent plastic material. During the packaging process recesses areformed in the plastic foil. The recesses have the size and shape of thetablets or capsules to be packed. Next, the tablets or capsules areplaced in the recesses and the sheet of relatively stiff material issealed against the plastic foil at the face of the foil which isopposite from the direction in which the recesses were formed. As aresult, the tablets or capsules are sealed in the recesses between theplastic foil and the sheet.

Preferably, the strength of the sheet is such that the tablets orcapsules can be removed from the blister pack by manually applyingpressure on the recesses whereby an opening is formed in the sheet atthe place of the recess. Tablet(s) or capsule(s) can then be removed viasaid opening.

It may be desirable to provide a memory aid on the kit, e.g., in theform of numbers next to the tablets or capsules whereby the numberscorrespond with the days of the regimen during which the tablets orcapsules so specified should be ingested. Another example of such amemory aid is a calendar printed on the card, e.g., as follows “FirstWeek, Monday, Tuesday, . . . etc. . . . Second Week, Monday, Tuesday, .. . ”, etc. Other variations of memory aids will be readily apparent. A“daily dose” can be a single tablet or capsule or several pills orcapsules to be taken on a given day. Also a daily dose of the firstcompound can consist of one tablet or capsule while a daily dose of thesecond compound can consist of several tablets or capsules and viceversa. The memory aid should reflect this.

Compositions of the present invention may be used to treat any conditionwhich is subject to treatment by administering a drug.

Other features and embodiments of the invention will become apparentfrom the following examples which are given for illustration of theinvention rather than for limiting its intended scope.

EXAMPLES Dispersions 1-12

Solid amorphous dispersions of drugs and various concentration-enhancingpolymers were prepared by spray-drying each solution of drug andpolymer, using either a Niro PSD-1 spray drier or a “mini” spray drier.For Dispersions 1, 2, 9, 10, 11, and 12 the drug was[2R,4S]4-[(3,5-bis-trifluoromethyl-benzyl)-methoxycarbonyl-amino]-2-ethyl-6-trifluoromethyl-3,4-dihydro-2H-quinoline-1-carboxylicacid ethyl ester (“Drug 1”). For Dispersions 3 and 4, the drug was thehydrochloride salt form of ziprazidone (“Drug 2A”), while for Dispersion5, the drug was the free base form of ziprazidone (“Drug 2B”). ForDispersions 6 and 7, the drug was 2-phenanthrenecarboxamide,4b,5,6,7,8,8a,9,10-octahydro-7-hydroxy-N-[(2-methyl-3-pyridinyl)methyl]-4b-(phenylmethyl)-7-(3,3,3-trifluoropropyl)-,(4bS,7S,8aR) (“Drug 3”). For Dispersion 8, the drug was5-chloro-1H-indole-2-carboxylic acid[(1S)-benzyl-3-((3R,4S)-dihydroxypyrroldin-1-yl-)-(2R)-hydroxy-3-oxypropyl]amide(“Drug 4”).

For Dispersion 1, an amorphous dispersion of Drug 1 and HPMCAS-MF wasprepared using a Niro PSD-1 spray drier. First, a spray solution wasformed containing 2.5 wt % Drug 1, 7.5 wt % HPMCAS-MF, and 90% acetone.The solution was spray-dried by directing a Niro two-fluid external-mixspray nozzle at 2.7 bar with a feed rate of 190 g/min into thestainless-steel chamber of a Niro PSD-1 spray-dryer, using nitrogen asthe drying gas, maintained at a temperature of 137° C. at the inlet; thedrying gas and evaporated solvent exited the drier at 49° C.

The resulting solid amorphous dispersion was collected via a cyclone andthen dried in a Gruenberg solvent tray-drier by spreading thespray-dried particles onto polyethylene-lined trays to a depth of notmore than 1 cm and then drying them at 40° C. for 25 hours. Afterdrying, Dispersion 1 contained 25 wt % Drug 1. The mean diameter of thedispersion particles was 15 m.

Dispersions 2, 3, 8, 10, and 12 were prepared using the same process asdescribed for Dispersion 1, with the exception of the variables noted inTable 1, which summarizes the process conditions. Dispersion 12 wasspray-dried using a Niro PSD-4 spray drier and a pressure nozzle (DelvanSDX111 (SA-38)). TABLE 1 Drug Polymer Solvent Nozzle Feed Disp Drug MassMass Mass Pressure Rate T_(in) T_(out) No. No. (g) Polymer (g) Solvent(g) (bar) (g/min) (° C.) (° C.) 1 1 8 HPMCAS-MF 24 Acetone 288 2.7 190137 49 2 1 40 HPMCAS-MF 120.4 Acetone 840 2.7 200 139 50 3  2A 1HPMCAS-HF 9 Methanol 490 7.7 50 120 60 8 4 150 HPMCAS-MF 150 Acetone11,700 1.9 200 180 70 10 1 4.2 CMEC 7.8 Acetone 138 6.7 200 110 45 12 1144 HPMCAS-MG 432 Acetone 3024 48 1667 110 45

For Dispersion 4, an amorphous dispersion of ziprazidone, in thehydrochloride salt form, (“Drug 2A”), was prepared using the mini spraydrier. The spray solution consisted of 0.14 wt % Drug 2A, 0.14 wt %HPMCAS-HF, and 99.72 wt % methanol. The solution was pumped into a“mini” spray-drying apparatus via a Cole Parmer 74900 seriesrate-controlling syringe pump at a rate of 1.3 mL/min. The drug/polymersolution was atomized through a Spraying Systems Co. two-fluid nozzle,Module No. SU1A using a heated stream of nitrogen (100° C.). The spraysolution was sprayed into an 11-cm diameter stainless steel chamber. Theresulting solid amorphous dispersion was collected on filter paper,dried under vacuum, and stored in a desiccator. After drying, Dispersion4 contained 50 wt % Drug 2 form A.

Dispersions 5, 6, 7, 9 and 11 were prepared using the same process asdescribed for Dispersion 4, with the exception of the variables noted inTable 2, which summarizes the process conditions. Note that forDispersion 11 the lipophilic microphase-forming material (Capmul MCM)was included in the solvent solution used to form the dispersion. TABLE2 Drug Polymer Solvent Feed Disp. Drug Mass Mass Mass Rate T_(in) No.No. (mg) Polymer (mg) Solvent (g) (mL/min) (° C.) 4  2A 500.2 HPMCAS-HF500.2 Methanol 356.0 1.3 100 5  2B 500.2 HPMCAS-HF 500.1 Methanol 166.01.3 100 6 3 25.4 CAP 225.6 Acetone 25 1.3 100 7 3 25.3 HPMCAS-MF 225.0Acetone 25 1.3 100 9 1 3.0 HPMC 27 MeOH/Acetone 1/1 10 1.3 100 11 1 40HPMCAS-MF 120 Acetone 12 1.0 90

Table 3 summarizes the various dispersions used in the Examples whichfollow. TABLE 3 Drug Conc. Spray-drier Used Dispersion Drug inDispersion to Prepare No. No. (active, wt %) Polymer Dispersion 1 1 25HPMCAS-MF Niro PSD-1 2 1 25 HPMCAS-MF Niro PSD-1 3  2A 10 HPMCAS-HF NiroPSD-1 4  2A 50 HPMCAS-HF Mini 5  2B 50 HPMCAS-HF Mini 6 3 10 CAP Mini 73 10 HPMCAS-MF Mini 8 4 50 HPMCAS-MF Niro PSD-1 9 1 10 HPMC Mini 10 1 35CMEC Niro PSD-1 11 1 20 HPMCAS-MF Mini 12 1 25 HPMCAS-MG Niro PSD-1HPMCAS-MF = medium fine grade (AQUAT-MF, Shin Etsu)HPMCAS-HF = high, fine grade (AQUAT-HF, Shin Etsu)HPMCAS-MG = medium, granular grade (AQUAT-MG, Shin Etsu)CAP = cellulose acetate phthalate (NF grade, Eastman Chemical Co.)HPMC = hydroxypropyl methyl cellulose (Methocel ®) Dow Chemical Co.CMEC = carboxy methyl ethyl cellulose (Freund Industrial Co. Ltd.,Tokyo, Japan)

Example 1

In this example, a method is used to screen a candidate lipophilicmicrophase-forming material for suitability in providingconcentration-enhancement. A simulated intestinal buffer solution wasprepared by dissolving 6.8 g of potassium phosphate monobasic in 750 mLof deionized water with 85 mL 0.2 M sodium hydroxide. Water was addedfor a final volume of 1 L. The pH was adjusted to 6.8±0.1 using 0.2 Msodium hydroxide.

Next, a lipophilic microphase-forming material was added to the buffersolution. 0.069 wt % polyethoxylated castor oil (CREMOPHOR RH40) and0.031 wt % glyceryl mono- and di-caprylate (CAPMUL MCM) were added tothe buffer to form the lipophilic microphase. 250 mL of the resultingsolution was then added to a vessel in a VanKel dissolution testingapparatus with automatic sampling. The solution temperature wasmaintained at 37° C., and stirred with a paddle speed of 50 rpm.

After equilibration to 37° C., 120.3 mg of Dispersion 1 was added to thebuffer containing the lipophilic microphase, resulting in a theoreticalDrug 1 concentration of 120 μg/mL, if all of the drug had dissolved.Samples were collected at 5, 15, 20, 35, 45, 60, 75, 90, 120, 180 and1200 minutes, centrifuged for 1 minute at 13,000 G, and then analyzed byhigh-performance liquid chromatography (HPLC) using a Waters Symmetry C₈column. The mobile phase consisted of 0.2 vol % H₃PO₄ (inwater)/methanol in the ratio of 15/85 vol/vol. Drug concentration wascalculated by comparing UV absorbance at 256 nm to the absorbance ofDrug 1 standards. Drug measured by HPLC includes free drug in solution,drug present in drug/polymer aggregates, and drug in the lipophilicmicrophase. The results are shown in Table 4.

Control 1

Control 1 consisted of dissolution of Dispersion 1 in intestinal bufferwithout the lipophilic microphase-forming material. TABLE 4 Drug 1Example Time Concentration AUC No. Dispersion (min) (μg/mL) (min*μg/mL)1 1 0 0 0 5 42 100 15 75 700 20 85 1,100 35 86 2,400 45 87 3,200 60 844,500 75 85 5,800 90 81 7,000 120 78 9,400 180 74 14,000 1200 68 86,100Control 1 1 0 0 0 5 13 0 15 21 200 20 29 300 35 39 800 45 43 1,300 60 451,900 75 55 2,700 90 59 3,500 120 64 5,400 180 59 9,000 1200 40 59,400

The concentrations of drug obtained in these samples were used todetermine the maximum concentration of drug (“C_(max180)”) and the areaunder the concentration-versus-time curve (“AUC₁₈₀”) during the initialone hundred eighty minutes. The results are shown in Table 5. TABLE 5Disper- Lipophilic Lipophile/ C_(max180) AUC₁₈₀ Exp. No. sion DrugMicrophase Drug Ratio (μg/mL) (min*μg/mL) 1 1 1 Cremophor 8.3 87 14,000& Capmul Control 1 1 1 none — 64 9,000

As can be seen from the data, the test performed with the lipophilicmicrophase-forming material (Example 1) provided a C_(max180) that was1.4-fold that of the control, and an AUC₁₈₀ that was 1.6-fold that ofthe control, indicating that the lipophilic microphase-forming materialis suitable for use in the invention.

Example 2

This example demonstrates that the lipophilic microphase formingmaterial results in a significant amount of drug being present inlipophilic microphases and decreases the amount of drug present asprecipitate. For Example 2, 4.0 mg of Dispersion 2 was added toEppendorf tubes (in duplicate) containing 1.0 mL of deuterated PBS withthe following lipophilic microphase-forming material: 1.09 mg CremophoreRH40 and 0.50 mg Capmul MCM. The solution also contained 0.11 mg3-(trimethylsilyl)propionic-2,2,3,3-d₄ acid, sodium salt (“TSP”; adeuterated NMR reference standard). Next, 10 μL of a 1.11 mg/mL ¹⁹Ftrifluoroacetic acid standard solution (“TFA”) was added to each tube.The solutions in the tubes were vortexed 1 minute, centrifuged 1 minuteto remove bubbles, resuspended using a pipette, and transferred to an 8mm NMR tube. Proton and ¹⁹F spectra were recorded for separate identicalsamples using a Varian Gemini 2000 NMR instrument. By comparing the drugNMR spectra to the TFA standard, these spectra were used to determinethe total amount of Drug 1 present as free drug in solution and drug inthe lipophilic microphase. Drug in polymer/drug assemblies wasdetermined by subtracting the concentration of highly mobile drug fromthe concentration of total dissolved drug. Free drug and drug in thelipophilic microphase together are referred to as “highly mobile” drug.

The precipitate was analyzed by centrifuging the solution and decantingthe supernatant. The pellet was dried, then dissolved in DMSO andanalyzed by NMR. The proton spectra was used to measure the polymer:drugratio, and the concentration of drug in the precipitate was calculatedfrom standards.

HPLC was used to determine the amount of total dissolved drug in thesupernatant following centrifugation. The drug observed by HPLCconsisted of free drug in solution, drug present in polymer/drugassemblies, and drug in the lipophilic microphase.

The results of these tests were used to determine the amount of Drug 1in precipitate, in highly mobile species, or in polymer/drug assembliesin a solution of Example 2. The results are shown in Table 6.

Control 2

Control 2 consisted of Dispersion 2 in deuterated PBS without thelipophilic microphase. TABLE 6 Highly Drug in Drug in MobilePolymer/Drug Disper- Lipophilic Lipophile/ Precipitate Drug AssembliesExp. No. sion Drug Microphase Drug Ratio (μg/mL) (μg/mL) (μg/mL) 2 2 1Cremophor 1.59 50 400 550 & Capmul Control 2 2 1 none — 270 <3 730

These data show that the composition of the present invention providedconcentration enhancement over the control. Specifically, theconcentration of drug that is highly mobile, meaning either present asfree drug or present in lipophilic microphases, for Example 2 was atleast 133-fold that provided by Control 2. In addition, the precipitateratio was 5.4 (270/50).

Examples 3-8

These examples show concentration-enhancement provided by severalcandidate lipophilic microphase-forming materials. For each of Examples3-8, Dispersion 2 was added to a solution containing a lipophilicmicrophase-forming material. Example 3 consisted of Dispersion 2 insolution with a mixture of sodium taurocholic acid and1-palmitoyl-2-oleyl-sn-glycero-3-phosphocholine (“NaTC/POPC”; 4/1wt/wt). Example 4 consisted of Dispersion 2 in solution with NaTC/POPCand a mixture of Tween 80 and Capmul MCM (40/60 wt/wt). Example 5consisted of Dispersion 2 in solution with NaTC/POPC and a mixture ofCremophor RH40 and Capmul MCM (40/60 wt/wt). Example 6 consisted ofDispersion 2 in solution with NaTC/POPC and a mixture of Cremophor RH40and Capmul MCM (72/28 wt/wt). Example 7 consisted of Dispersion 2 insolution with NaTC/POPC and a mixture of Cremophor RH40 and Arlacel 20(75/25 wt/wt). Example 8 consisted of Dispersion 2 in solution withNaTC/POPC and sodium lauryl sulfate (SLS).

For Example 3, to analyze the concentration of Drug 1 that was highlymobile using NMR, 18 mg of Dispersion 2 was added to 1.8 mLs ofdeuterated PBS containing 0.5 wt % NaTC/POPC, and the referencestandards TSP and ¹⁹F TFA. For Examples 4 through 8, 0.1 wt % ofadditional lipophilic microphase-forming materials were added. Theresults are shown in Table 7. Control 2 (Dispersion 2 in deuterated PBSwithout the lipophilic microphase) is shown again for comparison. TABLE7 Highly Mobile Disper- Lipophilic Lipophile/ Drug Ex. No. sion DrugMicrophase Drug Ratio (μg/mL) 3 2 1 NaTC/POPC 2.0 13.0 4 2 1 NaTC/POPC +2.4 24.9 Tween 80 & Capmul 5 2 1 NaTC/POPC + 2.4 32.9 Cremophor & Capmul(40/60) 6 2 1 NaTC/POPC + 2.4 86.7 Cremophor & Capmul (72/28) 7 2 1NaTC/POPC + 2.4 78.4 Cremophor & Arlacel 8 2 1 NaTC/POPC + 2.4 22.8 SLSControl 2 2 1 none — <1

The results show that addition of the lipophilic microphase results ingreater than 13- to 86-fold increases in highly mobile drugconcentrations compared with the control consisting of the dispersionalone. In addition, formulations with a lipophilic microphase-formingmaterial in addition to NaTC/POPC (examples 4 to 8), showedconcentration enhancement over the use of NaTC/POPC alone (Example 3),with concentrations of highly mobile drug 1.7-fold to 6.7-fold thatprovided by Example 3.

Examples 9-12

These Examples demonstrate concentration enhancement using severaldifferent candidate lipophilic microphase-forming materials. In theseexamples, Dispersion 1 was co-administered to PBS containing thelipophilic microphase-forming material TWEEN 80 (Example 9), Capmul MCM(Example 10), Cremophor RH40 (Example 11), or a 69/31 (wt/wt) mixture ofCremophor RH40/Capmul MCM (Example 12).

For each of these tests, approximately 120 mg of Dispersion 1 was addedto 250 mLs of PBS containing 0.5 wt % of the lipophilicmicrophase-forming material. Dissolution tests were performed asdescribed for Example 1. Results are shown in Table 8. TABLE 8 Drug 1Example Time Concentration AUC No. Dispersion (min) (μg/mL) (min*μg/mL)9 1 0 0 0 5 11 0 15 28 200 20 33 400 35 52 1,000 45 64 1,600 60 78 2,70075 86 3,900 90 93 5,200 120 97 8,100 180 97 13,900 1200 91 110,000 10 10 0 0 5 73 200 15 89 1,000 20 90 1,400 35 94 2,800 45 94 3,800 60 945,200 75 91 6,600 90 90 7,900 120 84 10,500 180 75 15,300 1200 45 76,70011 1 0 0 0 5 9 0 15 24 200 20 32 300 35 50 900 45 62 1,500 60 76 2,50075 89 3,800 90 103 5,200 120 114 8,500 180 127 15,700 1200 144 153,80012 1 0 0 0 5 49 100 15 92 800 20 101 1,300 35 111 2,900 45 112 4,000 60113 5,700 75 112 7,400 90 112 9,100 120 113 12,500 180 111 19,200 1200125 139,700

The concentrations of drug obtained in these samples were used todetermine the C_(max180) and the AUC₁₈₀ during the initial one hundredeighty minutes. The results are shown in Table 9. The result for Control1 are shown again for comparison. TABLE 9 Lipophilic Lipophile/DrC_(max180) AUC₁₈₀ Exp. No. Dispersion Drug Microphase ug Ratio (μg/mL)(min*μg/mL) 9 1 1 Tween 80 41.7 97 13,900 10 1 1 Capmul 41.7 94 15,30011 1 1 Cremophor 41.7 127 15,700 12 1 1 Cremophor & 41.7 113 19,200Capmul Control 1 1 none — 64 9,000 1

As can be seen from the data, Examples 9 through 12 provided C_(max180)from 1.5-fold to 2.0-fold that of the control, and AUC₁₈₀ from 1.5-foldto 2.1-fold that of the control.

Examples 13-15

These examples demonstrate concentration enhancement using Drug 2. Thedispersions used in these Examples contained ziprazidone in either thehydrochloride salt form (Drug 2A), or the free base form (Drug 2B).Table 3 shows the compositions of Dispersions 3, 4, and 5 with Drug 2Aor 2B. Examples 13 through 15 consisted of Dispersions 3 through 5 insolutions with NaTC/POPC as the lipophilic microphase.

For these tests, 3.6 mg of Dispersion 3, 0.78 mg of Dispersion 4, or0.72 mg of Dispersion 5, was added to microcentrifuge tubes induplicate. A sufficient amount of each dispersion was added so that theconcentration of drug would have been approximately 200 μg/mL, if all ofthe drug had dissolved. The tubes were placed in a 37° C.temperature-controlled chamber, and 1.8 mL PBS containing 0.5 wt %NaTC/POPC was added to each respective tube. The samples were quicklymixed using a vortex mixer for about 60 seconds. The samples werecentrifuged at 13,000 G at 37° C. for 1 minute. The resultingsupernatant solution was then sampled and diluted 1:6 (by volume) withwater/methanol (1/4) and then analyzed by high-performance liquidchromatography (HPLC) using a Phenomenex ODS 20 column. The mobile phaseconsisted of 0.02 M KH₂PO₄, pH 3.0/acetonitrile in the ratio of 60/40vol/vol. Drug concentration was calculated by comparing UV absorbance at254 nm to the absorbance of Drug 2A or 2B standards. The contents ofeach respective tube were mixed on the vortex mixer and allowed to standundisturbed at 37° C. until the next sample was taken. Samples werecollected at 4, 10, 20, 40, 90, and 1200 minutes. The results are shownin Table 10.

Controls 3-5

Controls 3 through 5 consisted of Dispersions 3 through 5, respectively,in PBS without the lipophilic microphase. TABLE 10 Drug 2 TimeConcentration AUC Example No. Dispersion (min) (μg/mL) (min*μg/mL) 13 30 0 0 4 173 300 10 168 1,400 20 133 2,900 40 108 5,300 90 59 9,500 1200249 180,200 14 4 0 0 0 4 12 0 10 24 100 20 43 500 40 47 1,400 90 253,200 1200 15 25,800 15 5 0 0 0 4 74 100 10 42 500 20 37 900 40 21 1,50090 16 2,400 1200 13 18,500 Control 3 3 0 0 0 4 23 100 10 21 200 20 24400 40 20 900 90 8 1,600 1200 8 10,900 Control 4 4 0 0 0 4 10 0 10 13100 20 16 200 40 13 500 90 9 1,100 1200 4 8,000 Control 5 5 0 0 0 4 27100 10 23 200 20 18 400 40 13 700 90 7 1,200 1200 7 8,500

The concentrations of drug obtained in these samples were used todetermine the C_(max90) and the initial ninety minutes. The results areshown in Table 11, TABLE 11 Disper- Lipophilic Lipophile/ C_(max90)AUC₉₀ Ex. No. sion Drug Microphase Drug Ratio (μg/mL) (min*μg/mL) 13 32A NaTC/POPC 25 173 9500 Control 3 3 2A none — 24 1600 14 4 2A NaTC/POPC25 47 3200 Control 4 4 2A none — 16 1100 15 5 2A NaTC/POPC 25 74 2400Control 5 5 2A none — 27 1200

As can be seen from the data, Examples 3, 4, and 5 provided C_(max90)were 7.2-, 2.9-, and 2.7-fold that provided by each respective control.Examples 3, 4, and 5 provided AUC₉₀ values that were 5.9-, 2.9-, and2.0-fold that provided by each respective control.

Examples 16-19

Examples 16 through 19 evaluate several lipophilic microphase-formingmaterials with dispersions containing different drugs and differentpolymers. Examples 16 through 19 consisted of Dispersions 6 through 9 insolutions with NaTC/POPC or Tween 80 as the lipophilic microphasematerial. Table 3 shows the compositions of Dispersions 6 through 9.

For Examples 16 and 17, 3.6 mg of Dispersion 6 or Dispersion 7 was addedto PBS containing 2 wt % Tween 80 (the Drug 3 concentration would havebeen 200 μg/mL if all of the drug dissolved). For Example 18, 3.6 mg ofDispersion 8 was added to PBS containing 0.5 wt % NaTC/POPC (the Drug 4concentration would have been 1000 μg/mL if all of the drug dissolved).For Example 19, 1.8 mg of Dispersion 9 was added to PBS containing 0.5wt % NaTC/POPC (the Drug 1 concentration would have been 100 μg/mL ifall of the drug dissolved). Dissolution tests were performed asdescribed above for Examples 13 through 15. Drug 3 was analyzed by HPLCusing a Waters Symmetry C₁₈ column. The mobile phase consisted of 0.02 MKH₂PO₄, pH 3.0/acetonitrile in the ratio of 60/40 vol/vol. Drugconcentration was calculated by comparing UV absorbance at 208 nm to theabsorbance of Drug 3 standards. Drug 4 was analyzed by HPLC using aZorbax SB C₁₈ column. The mobile phase consisted of water/methanol inthe ratio of 35/65 vol/vol. Drug concentration was calculated bycomparing UV absorbance at 297 nm to the absorbance of Drug 4 standards.Drug 1 was analyzed by HPLC as described above for Example 1. Drugconcentrations versus time are shown in Table 12.

Controls 6-9

Controls 6 through 9 consisted of Dispersions 6 through 9, respectively,in PBS without the lipophilic microphase-forming material. TABLE 12 DrugTime Concentration AUC Example No. Dispersion (min) (μg/mL) (min*μg/mL)16 6 0 0 0 4 143 300 10 193 1300 20 206 3300 40 212 7500 90 207 18,0001200 207 247,800 17 7 0 0 0 4 174 300 10 193 1,400 20 198 3,400 40 2127,500 90 205 17,900 1200 217 252,200 18 8 0 0 0 4 1019 2,000 10 9828,000 20 1004 18,000 40 970 37,700 90 961 86,000 1200 288 779,400 19 9 00 0 4 94 200 10 95 800 20 85 1,600 40 80 3,300 90 66 7,200 1200 2863,800 Control 6 6 0 0 0 4 159 300 10 149 1,200 20 148 2,700 40 1305,500 90 117 11,700 1200 82 122,300 Control 7 7 0 0 0 4 21 0 10 31 20020 43 600 40 58 1,600 90 86 5,200 1200 173 148,900 Control 8 8 0 0 0 4540 1,100 10 582 4,400 20 601 10,400 40 620 22,600 90 594 52,900 1200276 536,000  Control 11 11 0 0 0 4 70 100 10 64 500 20 59 1,200 40 502,200 90 42 4,600 1200 18 37,800

The concentrations of drug obtained in these samples were used todetermine the C_(max90) and the AUC₉₀ during the initial ninety minutes.The results are TABLE 13 Disper- Lipophilic Lipophile/ C_(max90) AUC₉₀Ex. No. sion Drug Polymer Microphase Drug Ratio (μg/mL) (min*μg/mL) 16 63 CAP Tween 100 212 18,000 Control 6 6 3 CAP none — 159 11,700 17 7 3HPMCAS-MF Tween 100 212 17,900 Control 7 7 3 HPMCAS-MF none — 86 5200 188 4 HPMCAS-MF NaTC/POPC 5 1019 86,000 Control 8 8 4 HPMCAS-MF none — 62052,900 19 9 1 HPMC NaTC/POPC 50 95 7200 Control 9 9 1 HPMC none — 704600

As can be seen from the data, the Examples showed an improvement inC_(max90) from 1.3- to 2.5-fold that of each respective control. TheExamples showed an improvement in AUC₉₀ from 1.5- to 3.4-fold that ofeach respective control.

Example 20

Partition coefficients were measured for Drug 1 in PBS with thelipophilic microphase-forming materials Capmul MCM, a 2.2:1 (wt:wt)mixture of Cremophore RH40/Capmul MCM, Pluronic F127, TWEEN 80, sodiumlauryl sulfate (SLS), PEG 6000 distearate, MYRJ 59, Cremophore A25, andNaTC/POPC, using the following method. First, highly mobile Drug 1concentration was measured for solutions of crystalline Drug 1 andvarying concentrations of the lipophilic microphase material, or withDispersion 2 (25 wt % Drug 1 with HPMCAS-MF). The concentration of Drug1 versus concentration of lipophilic microphase material was graphed,and the slope was used to determine the partition coefficient of Drug 1in the lipophilic microphase material from the equation[Drug]_(lipophile)=[Drug]_(free)·K_(p)·χ_(lipophile).

For example, to determine the partition coefficient for Drug 1 in a2.2/1 w/w mixture of Cremophore RH40/Capmul MCM, 2.0 mg of crystallineDrug 1 was added to 2.0 mL of deuterated PBS containing ¹⁹F TFA standardand 0.047 wt %, 0.089 wt %, or 0.164 wt % of a Cremophore RH40/CapmulMCM mixture (2.2/1 wt/wt). Each solution was stirred overnight at 37° C.Highly mobile Drug 1 concentration (free drug and drug in lipophilicmicrophases) was measured using NMR. The results are shown below inTable 14. TABLE 14 Highly-Mobile Drug 1 Cremophore/Capmul Concentration(wt %) (μg/mL) 0.047 9 0.089 23 0.164 53

The slope of the data in Table 14,[Drug]_(lipophile)=[Drug]_(free)·K_(p)·χ_(lipophile), is 38,000.Dividing this by [Drug]_(free), 0.010 μg/mL, gives a partitioncoefficient, K_(p), of 3,800,000. Partition coefficients for theremaining lipophilic microphase materials were calculated using similarprocedures. The summary of partition coefficients is shown in Table 15.TABLE 15 Partition Coefficient K_(p) Lipophilic Microphase DeterminedUsing Determined Using Material Crystalline Drug 1 Dispersion 2 CapmulMCM — 11,000,000 Cremophor RH40/Capmul MCM 3,800,000  4,700,000 (2.2/1wt/wt) PEG 6000 distearate — 1,400,000 Cremophore RH40 — 740,000Pluronic F127 400,000 Tween 80 320,000 MYRJ 59 — 300,000 Cremophor A25 —200,000 SLS  63,000 NaTC/POPC  33,000

The data in Table 15 show that lipophilic microphase-forming materialswith a wide range of partition coefficients with Drug 1 are available.The data also show that the partition coefficient measured for Drug 1and a 2.2/1 (wt/wt) mixture of Cremophor RH40/Capmul MCM when usingDispersion 2 was greater than that measured when using crystallineDrug 1. This is because Dispersion 2 provides an enhanced free drugconcentration ([Drug]_(free)) over crystalline Drug 1.

Example 21

Solutions containing Drug 1 in PBS with lipophilic microphase-formingmaterials were analyzed using light scattering to determine the size ofthe lipophilic microphases. To form these solutions, 3 mg Drug 1 wasadded to 10 mL PBS containing 0.1 wt % Capmul MCM/Tween 80 (3/2), or 0.1wt % Cremophor RH40/Capmul MCM (5/2), and equilibrated overnight.Solutions were filtered using a 0.45 μm PTFE syringe filter to removeany undissolved species. Dynamic light-scattering of each of thesolutions was measured using a PSS-NICOMP 380 Submicron Particle Sizer,and the size of lipophilic microphases in the solution was calculated.The mean particle sizes (characteristic diameter) for the bulk ofparticles in solution are shown in Table 16. (The value reported is avolume-weighted mean, assuming a gaussian size distribution, withapproximately 85% of the particle volume being within about 30% of thereported size.) TABLE 16 Lipophilic DLS Mean Microphase Lipophile/DrugParticle Size (0.1 wt %) Ratio (nm) Capmul MCM/ 3.33 14.8 Tween 80 (3/2)Cremophor RH40/ 3.33 17.9 Capmul MCM (5/2)

Example 22

The concentration-enhancement provided by Dispersion 11, comprising 20wt % Drug 1, 20 wt % Capmul MCM, and 60 wt % HPMCAS-MF, was determinedusing NMR analysis as follows. A 9.0 mg sample of Dispersion was addedto 1.8 mL of deuterated PBS, and the reference standards TSP and ¹⁹FTFA, as described in Example 2. The concentration of highly mobile drugprovided by Dispersion 11 as determined by NMR is shown in Table 17. Forcomparison, the results for Control 2 (Dispersion 2 comprising 25 wt %Drug 1 and 75 wt % HPMCAS-MF) is included in the table. These data showthat the concentration of highly mobile Drug 1 provided by Dispersion11, containing the lipophilic microphase-forming material Capmul MCM,was greater than 980-fold that provided by the control composition thatdid not contain the lipophilic microphase-forming material. TABLE 17Highly Lipophilic Lipophile/ Mobile Example Microphase-Forming Drug Drug1 No. Dispersion Material Ratio (μg/mL) 22 11 Capmul MCM (included 1 980in dispersion) Control 2 2 none — <1

Examples 23-25

The concentration-enhancement provided by Dispersion 2, comprising 25 wt% Drug 1 and 75 wt % HPMCAS when co-administered with various lipophilicmicrophase-forming materials was determined as follows. A 7.2 mg sampleof Dispersion 2 was added to 1.8 mL of deuterated PBS, and the referencestandards TSP and ¹⁹F TFA to which had been added 1.8 mg of thelipophilic microphase-forming materials shown in Table 18. Theconcentration of highly mobile drug provided by Dispersion 2co-administered with these lipophilic microphase-forming materials wasdetermined by NMR using the procedures outlined in Example 2. Theresults are presented in Table 18, as is the result for Control 2. Thesedata show that the concentration of highly mobile Drug 1 provided byDispersion 2 and the various lipophilic microphase-forming materials wasgreater than 2.4- to 360-fold that provided by the control compositionthat did not contain the lipophilic microphase-forming material. TABLE18 Lipophilic Lipophile/ Highly Mobile Example Disper- Microphase- DrugDrug 1 No. sion Forming Material Ratio (μg/mL) 23 2 PEG Distearate 1 2.424 2 Cremophor/Capmul 1 170 (5/2 wt/wt) 25 2 Capmul MCM 1 360 Control 2None — <1 2

Examples 26-28

The concentration-enhancement provided by Dispersion 10, comprising 35wt % Drug 1 and 65 wt % CMEC when co-administered with variouslipophilic microphase-forming materials was determined as follows. A 5.1mg sample of Dispersion 10 was added to 1.8 mL of deuterated PBS, andthe reference standards TSP and ¹⁹F TFA to which had been added 1.8 mgof the lipophilic microphase-forming materials shown in Table 19. Theconcentration of highly mobile drug provided by Dispersion 10co-administered with these lipophilic microphase-forming materials wasdetermined by NMR using the procedures outlined in Example 2. Theresults are presented in Table 18, as is the result for Control 3, whichcomprised Dispersion 10 without a lipophilic microphase-formingmaterial. These data show that the concentration of highly mobile Drug 1provided by Dispersion 10 when co-administered with various lipophilicmicrophase-forming materials was greater than 3.4-fold to 210-fold thatprovided by the control composition that did not contain the lipophilicmicrophase-forming material. TABLE 19 Lipophilic Lipophile/ HighlyMobile Example Disper- Microphase- Drug Drug 1 No. sion Forming MaterialRatio (μg/mL) 26 10 PEG Distearate 1 3.4 24 10 Cremophor/Capmul 1 120(5/2 wt/wt) 28 10 Capmul MCM 1 210 Control 3 10 none — <1

Example 29

This example demonstrates a lipophilic microphase-forming materialadsorbed to a solid substrate.

The lipophilic microphase-forming material was adsorbed to a solidsubstrate as follows. First, a quantity of calcium silicate (Zeopharm®600, available from JM Huber Corporation) was dried in a vacuum oven ata temperature of about 100° C. for 5 hours. Next a 69:31 (wt/wt) mixtureof Cremophore RH 40:Capmul MCM was prepared. The materials were warmedsufficiently to become liquid, and 6.9 g of Cremophore RH 40 and 3.1 gof Capmul MCM was added to a vial. The mixture was warmed to 37° C. withconstant stirring. The mixture was diluted by adding 10 g of methanol(1:1 mass ratio). The resulting solution was agitated and then stirredat room temperature. 1.1952 g of the Cremophore RH 40:Capmul MCMsolution and 0.2015 g of calcium silicate were next added to a vial. Thematerials were mixed to form a slurry and then allowed to dry in a fumehood at room temperature overnight. The vials were then placed in avacuum desiccator and allowed to dry for about five hours to removeresidual methanol. The resulting material was a dry, freely flowingpowder having a weight ratio of lipophilic microphase forming materialto solid substrate of about 3/1.

Examples 30-31

Compositions comprising a solid amorphous dispersion andlipophilic-microphase forming material adsorbed onto a solid substratewere dissolution tested to determine whether the composition providedconcentration-enhancement.

For Example 30, 7.2 mg of Dispersion 12 and 12 mg of the adsorbedlipophilic microphase-forming material of Example 29 was added tomicrocentrifuge tubes.

For Example 31, 3.6 mg of Dispersion 12 and 12 mg of the adsorbedlipophilic microphase-forming material of Example 29 was added tomicrocentrifuge tubes.

For Example 30, a sufficient amount of dispersion was added so that theconcentration of drug would have been approximately 980 μg/mL, if all ofthe drug had dissolved. For Example 31, a sufficient amount ofdispersion was added so that the concentration of drug would have beenapproximately 490 μg/mL, if all of the drug had dissolved. The tubeswere placed in a 37° C. temperature-controlled chamber, and 1.8 mL MFDSwas added to each respective tube. The samples were quickly mixed usinga vortex mixer for about 90 seconds. The samples were centrifuged at13,000 G at 37° C. for 2 minutes. The resulting supernatant solution wasthen sampled and diluted 1:5 (by volume) with methanol and then analyzedby HPLC. The contents of each respective tube were mixed on the vortexmixer and allowed to stand undisturbed at 37° C. until the next samplewas taken. Samples were collected at 4, 10, 20, 40, 90, and 1200minutes. The results are shown in Table 20.

Controls 10-13

Control 10 consisted of 7.2 mg of Dispersion 12 but no lipophilicmicrophase-forming material.

Control 11 consisted of 3.6 mg of Dispersion 12 but no lipophilicmicrophase-forming material.

Control 12 consisted of 1.8 mg of crystalline Drug 1 and 12 mg of theadsorbed lipophilic microphase-forming material of Example 29.

Control 13 consisted of 0.9 mg of crystalline Drug 1 and 12 mg of theadsorbed lipophilic microphase-forming material of Example 29. TABLE 20Drug 1 Time Concentration AUC Example No. Dispersion (min) (μg/mL)(min*μg/mL) 30 12 0 0 0 4 850 1,710 10 817 6,710 20 775 14,600 40 74129,700 90 731 66,500 31 12 0 0 0 4 407 821 10 392 3,220 20 377 7,070 40362 14,500 90 357 32,800 Control 10 12 0 0 0 4 189 364 10 432 2,200 20726 7,960 40 769 23,000 90 681 59,800 Control 11 12 0 0 0 4 92 194 10227 1,170 20 354 4,080 40 369 11,300 90 307 28,200 Control 12 none 0 0 04 5 11 10 5 37 20 5 83 40 5 182 90 6 453 Control 13 none 0 0 0 4 3 8 103 27 20 3 61 40 4 137 90 4 333

The concentrations of drug obtained in these samples were used todetermine the C_(max90) and the AUC₉₀ during the initial ninety minutes.The results are shown in Table 21. TABLE 21 Disper- LipophilicLipophile/ C_(max90) AUC₉₀ Ex. No. sion Drug Microphase Drug Ratio(μg/mL) (min*μg/mL) 30 12 1 Cremophor/ 5 850 66,600 Capmul Control 10 121 none — 770 59,300 Control 12 none 1 Cremophor/ 5 6 450 Capmul 31 12 1Cremophor/ 10 410 32,400 Capmul Control 11 12 1 none — 370 28,200Control 13 none 1 Cremophor/ 10 4 330 Capmul

Combining a solid amorphous dispersion and adsorbed lipophilicmicrophase-forming material provided greatly enhanced drug concentrationrelative to controls consisting of equivalent amounts of crystallinedrug and lipophilic microphase-forming material. As can be seen from thedata, Example 30 provided a C_(max90) that was 1.1- and 142-fold thatprovided by Controls 10 and 12 respectively. Example 31 provided aC_(max90) that was 1.1- and 102-fold that provided by Controls 11 and13, respectively. Example 30 provided an AUC₉₀ that was 1.1- and148-fold that provided by Controls 10 and 12 respectively. Example 31provided an AUC₉₀ that was 1.1- and 98-fold that provided by Controls 10and 12 respectively.

Example 32

A combination of a solid amorphous dispersion and adsorbedlipophilic-microphase forming material was dosed to aqueous solution andanalyzed by NMR using the procedure of Example 2 to determine the amountof highly mobile drug that was present in aqueous solution, comparedwith dosing a dispersion alone.

For Example 32, 7.2 mg of Dispersion 12 and 12 mg of the adsorbedlipophilic microphase-forming material of Example 29 were added to 1.8ml of partially deuterated PBS containing 0.5 wt % NaTC/POPC and a TFAstandard (0.0013M ¹⁹F). Samples were held at 37° C. and vortexed for oneminute and then transferred to an 8 mm NMR tube. The concentration ofdrug was determined through integration of drug peaks and comparisonwith the TFA peaks.

Control 14 was the same as Example 32 but contained no adsorbedlipophilic microphase-forming material. TABLE 22 Highly Mobile Disper-Lipophilic Lipophile/ Drug Ex. No. sion Drug Microphase Drug Ratio(μg/mL) 32 12 1 Cremophor/ 5 614 Capmul Control 14 12 1 none — 14The results showed that addition of the lipophilic microphase formingmaterial resulted in a 45-fold increase in highly mobile drugconcentration compared with the control consisting of the dispersionalone.

The terms and descriptions which have been employed in the foregoingspecification are used therein as terms of description and not oflimitation, and there is no intention, in the use of such terms andexpressions, of excluding equivalents of the features shown anddescribed or portions thereof, it being recognized that the scope of theinvention is defined and limited by the claims which follow.

1. A composition comprising a dosage form selected from the groupconsisting of a tablet and a capsule, said dosage form comprising: (a) asolid amorphous dispersion comprising a low-solubility drug and aconcentration-enhancing polymer, wherein said low-solubility drug isdispersed in said concentration-enhancing polymer, wherein saidconcentration-enhancing polymer is selected from the group consisting ofhydroxypropyl methyl cellulose acetate succinate, hydroxypropyl methylcellulose phthalate, cellulose acetate phthalate, cellulose acetatetrimellitate, carboxymethyl ethyl cellulose, hydroxypropyl methylcellulose, poloxamers, polyvinylpyrrolidone, polyvinyl alcohols thathave at least a portion of their repeat units in hydrolyzed-form, andmixtures thereof; and (b) a water immiscible lipophilicmicrophase-forming material comprising a mixture of a hydrophobicmaterial and an amphiphilic material, said lipophilic microphase-formingmaterial being capable of forming a separate phase within an in vitro orin vivo aqueous use environment; and wherein said composition has a massratio of said lipophilic microphase-forming material to said lowsolubility drug of from 0.1 to 100; and wherein said lipophilicmicrophase-forming material is present in a sufficient amount so thatsaid composition provides concentration enhancement of said drug in saidaqueous use environment at least 1.25-fold relative to both a firstcontrol composition and a second control composition, wherein (i) saidfirst control composition consists essentially of an equivalent amountof said solid amorphous dispersion with no lipophilic microphase-formingmaterial present; and (ii) said second control composition consistsessentially of an equivalent amount of said low-solubility drug inundispersed form with an equivalent amount of said lipophilic,microphase-forming material but with no concentration-enhancing polymer.2. The composition of claim 1 wherein said lipophilic microphase-formingmaterial forms lipophilic microphases in said use environment having acharacteristic diameter of less than about 10 μm.
 3. The composition ofclaim 1 wherein said low-solubility drug has a solubility in said useenvironment of less than about 10 μg/ml.
 4. The composition of claim 1wherein said low-solubility drug has a partition coefficient K_(p) insaid lipophilic microphase-forming material of at least
 2000. 5. Thecomposition of claim 1 wherein said hydrophobic lipophilicmicrophase-forming material is selected from the group consisting ofmedium-chain glycerol mono-, di-, and tri-alkylates, sorbitan esters,long-chain fatty alcohols, long-chain fatty-acids, phospholipids, monoand diglycerides of capric and caprylic acid, polyoxyethylene 6 apricotkernel oil, polyoxyethylene corn oil, propylene glycol monolaurate,propylene glycol dicaprylate/caprate, polyglyceryl oleate, sorbitanesters of fatty acids, glyceryl monooleate, medium chain triglyceridesand long chain triglycerides, and mixtures of mono-, di-, andtriglycerides, or lipophilic derivatives of fatty acids such as esterswith alkyl alcohols, fractionated coconut oils, vegetable oils, fattyacid esters of alkyl alcohols, fatty alcohols, polyoxyethylenealkylethers, fatty acids, glycerol fatty acid monoesters, glycerol fattyacid diesters, acetylated glycerol fatty acid monoesters, acetylatedglycerol fatty acid diesters, lower alcohol fatty acid esters,polyethylene glycol fatty acid esters, polyethylene glycol glycerolfatty acid esters, polypropylene glycol fatty acid esters,polyoxyethylene glycerides, lactic acid derivative of monoglycerides,lactic acid derivatives of diglycerides, propylene glycol diglycerides,sorbitan fatty acid esters, polyoxyethylene sorbitan fatty acid esters,polyoxyethylene-polyoxypropylene block copolymers, transesterifiedvegetable oils, sterols, sterol derivatives, sugar esters, sugar ethers,sucroglycerides, polyoxyethylene vegetable oils, polyoxyethylenehydrogenated vegetable oils, reaction products of polyols and at leastone member of the group consisting of fatty acids, glycerides, vegetableoils, hydrogenated vegetable oils, and sterols; and mixtures thereof. 6.The composition of claim 5 wherein said hydrophobic lipophilicmicrophase-forming material is selected from the group consisting ofmono and diglycerides of capric and caprylic acid.
 7. The composition ofclaim 1 wherein said amphiphilic lipophilic microphase-forming materialis selected from the group consisting of sulfonated hydrocarbons andtheir salts, poloxamers, polyoxyethylene alkyl ethers, polyoxyethylenesorbitan fatty acid esters, short-chain glyceryl mono-alkylates,polyglycolized glycerides, mono- and di-alkylate esters of polyols,polyoxyethylene 20 sorbitan monooleate, polyoxyethylene 20 sorbitanmonolaurate, polyethylene (40 or 60) hydrogenated caster oil,polyoxyethylene (35) castor oil, polyethylene (60) hydrogenated casteroil, alpha tocopheryl polyethylene glycol 1000 succinate, glyceryl PEG 8caprylate/caprate, PEG 32 glyceryl laurate, polyoxyethylene fatty acidesters, and polyoxyethylene fatty acid ethers, and mixtures thereof. 8.The composition of claim 7 wherein said amphiphilic lipophilicmicrophase-forming material is selected from the group consistingpolyoxyethylene hydrogenated castor oil, polyoxyethylene sorbitanmonooleate, and sorbitan monolaurate.
 9. The composition of claim 1wherein said lipophilic microphase forming material is selected from thegroup consisting of mixtures of polyethoxylated caster oils andmedium-chain glyceryl mono-, di-, and/or tri-alkylates, mixtures ofpolyoxyethylene sorbitan fatty acid esters and medium-chain glycerylmono-, di-, and/or tri-alkylates, mixtures of polyethoxylated castoroils and medium-chain glyceryl mono-, di-, and/or tri-alkylates,mixtures of sodium taurocholic acid and a phospholipid, and mixtures ofpolyglycolized glycerides and medium-chain glyceryl mono-, di-, and/ortri-alkylates.
 10. The composition of claim 1 wherein saidlipophilic-microphase forming material is present in said solidamorphous dispersion.
 11. The composition of claim 1 wherein saidlipophilic, microphase-forming material is adsorbed on to a poroussubstrate.
 12. The composition of claim 1 wherein said lipophilic,microphase-forming material is dispersed in a water soluble or waterdispersible matrix.
 13. The composition of claim 1 wherein saidlipophilic, microphase-forming material comprises from 10 wt % to 80 wt% of said solid dosage form.
 14. The composition of claim 1 wherein saiddrug is a cholesterol ester transfer protein inhibitor.
 15. Thecomposition of claim 1 where said mass ratio of said lipophilicmicrophase-forming material to said low solubility drug is at least 1.16. The composition of claim 1 wherein said lipophilicmicrophase-forming material is present in a sufficient amount so as toprovide a concentration of highly mobile drug that is at least 2-foldthat provided by at least one of said first control composition and saidsecond control composition.
 17. The composition of claim 1 wherein saidcomposition provides a maximum concentration of dissolved drug in saiduse environment that is at least 1.25-fold that provided by at least oneof said first control composition and said second control composition.18. The composition of claim 1 wherein said composition provides adissolution area under the curve in a use environment for any 90-minuteperiod between the time of introduction to the use environment and 270minutes following introduction to the use environment that is at least1.25-fold that provided by at least one of said first controlcomposition and said second control composition.
 19. The composition ofclaim 1 wherein said composition provides a relative bioavailability ofat least 1.25-fold relative to at least one of said first controlcomposition and said second control composition.
 20. The composition ofclaim 1 wherein said composition provides a fed/fasted relativebioavailability ratio of from 0.5 to 2.0.
 21. The composition of claim 1wherein said composition provides a precipitate ratio of at least1.25-fold relative to at least one of said first control composition andsaid second control composition.
 22. The composition of claim 1 whereinsaid drug is selected from the group consisting of antihypertensives,antianxiety agents, anticlotting agents, anticonvulsants, bloodglucose-lowering agents, decongestants, antihistamines, antitussives,antineoplastics, beta blockers, anti-inflammatories, antipsychoticagents, cognitive enhancers, anti-atherosclerotic agents,cholesterol-reducing agents, antiobesity agents, autoimmune disorderagents, anti-impotence agents, antibacterial and antifungal agents,hypnotic agents, anti-Parkinsonism agents, anti-Alzheimer's diseaseagents, antibiotics, anti-depressants, and antiviral agents, glycogenphosphorylase inhibitors, and cholesterol ester transfer proteininhibitors.